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General NPI Number Information
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NPI Number | 1881856201
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Entity Type | Organization
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Legal Business Name | SAINT VINCENT CATHOLIC MEDICAL CENTERS
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 144 W 12TH ST REISS 180
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-8188
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Fax | 212-604-3778
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Provider Business Mailing Address
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Address Line | 144 W 12TH ST REISS 180
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-8188
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Fax | 212-604-3778
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Authorized Official
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Title or Position | SR VP, EXEC DIR BEHAVIORAL HEALTH
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Name | DR. BRIAN FITZSIMMONS
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Credential | PHD
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Telephone | 914-925-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | R053792
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License Number State | NY
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