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General NPI Number Information
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NPI Number | 1881756138
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Entity Type | Organization
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Legal Business Name | BELLEVUE HOSPITAL
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 462 FIRST AVE NEW AMB CARE BUILDING
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City | NEW YORK
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State | NY
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Zip | 10026
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Country | US
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Telephone | 121-256-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W 93RD ST APT 11C
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City | NEW YORK
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State | NY
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Zip | 10025-7416
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Country | US
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Telephone | 191-749-3102
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Fax |
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Authorized Official
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Title or Position | PA
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Name | MARIE R MOMPLAISIR
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Credential |
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Telephone | 12125621700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4131
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License Number State | NY
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