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General NPI Number Information
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NPI Number | 1851702286
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Entity Type | Organization
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Legal Business Name | MORNINGSIDE SPECIALTY HOSPITAL INC.
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/25/2014
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Provider Practice Location Address
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Address Line | 1704 W MANCHESTER AVE SUITE 206K
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City | LOS ANGELES
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State | CA
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Zip | 90047-3063
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Country | US
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Telephone | 323-908-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 W MANCHESTER AVE SUITE 206K
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City | LOS ANGELES
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State | CA
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Zip | 90047-3063
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Country | US
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Telephone | 323-908-3265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ZENON KESIK
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Credential |
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Telephone | 323-908-3265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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