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General NPI Number Information
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NPI Number | 1902989221
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Entity Type | Organization
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Legal Business Name | NEWARK WAYNE COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 1200 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1057
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Country | US
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Telephone | 315-332-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1057
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Country | US
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Telephone | 315-332-2022
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Fax |
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Authorized Official
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Title or Position | SVP-FINANCE
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Name | PAULA TINCH
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Credential |
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Telephone | 585-922-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 5820000H
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License Number State | NY
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