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General NPI Number Information
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NPI Number | 1740389154
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Entity Type | Organization
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Legal Business Name | RICHMOND MEDICAL CENTER
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 355 BARD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1664
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Country | US
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Telephone | 718-818-2494
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Fax | 718-881-1630
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Provider Business Mailing Address
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Address Line | 355 BARD AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-1664
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Country | US
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Telephone | 718-818-2494
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Fax | 718-818-1630
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MRS. ROBERT REN
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Credential |
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Telephone | 718-818-2494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PENDING
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License Number State | NY
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