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General NPI Number Information
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NPI Number | 1801045612
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Entity Type | Organization
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Legal Business Name | ST. LUKES ROOSEVELT HOSPITAL COLUMBUS CARDIOLOGY
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 425 W 59TH ST SUITE 8B
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City | NEW YORK
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State | NY
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Zip | 10019-1104
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Country | US
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Telephone | 212-376-3188
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W 59TH ST SUITE 8B
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City | NEW YORK
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State | NY
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Zip | 10019-1104
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Country | US
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Telephone | 212-376-3188
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JULIA DELGUZZO
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Credential |
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Telephone | 212-376-3188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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