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General NPI Number Information
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NPI Number | 1821699364
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Entity Type | Organization
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Legal Business Name | 2HEALTH FOUNDATION
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 140 S BEDFORD RD
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3400
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Country | US
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Telephone | 914-238-1200
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Fax | 914-238-2200
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Provider Business Mailing Address
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Address Line | 140 S BEDFORD RD
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3400
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Country | US
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Telephone | 914-238-1200
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Fax | 914-238-2200
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Authorized Official
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Title or Position | DIRECTOR
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Name | LINCOLN PAO
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Credential | MD
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Telephone | 914-238-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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