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General NPI Number Information
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NPI Number | 1891967881
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Entity Type | Organization
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Legal Business Name | WEILL CORNELL MEDICAL CENTER
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 1315 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-5304
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Country | US
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Telephone | 212-746-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 YORK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-4014
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MRS. TORAL SHAH
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Credential | PA
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Telephone | 212-746-4014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 007588
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License Number State | NY
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