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General NPI Number Information
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NPI Number | 1982081170
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Entity Type | Organization
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Legal Business Name | COLUMBIA UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 635 W 165TH ST FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10032-3724
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Country | US
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Telephone | 212-305-4562
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Fax |
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Provider Business Mailing Address
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Address Line | 635 W 165TH ST FLOOR 6
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City | NEW YORK
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State | NY
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Zip | 10032-3724
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Country | US
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Telephone | 212-305-4562
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE COORDINATOR
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Name | DIANE LEACH
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Credential |
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Telephone | 212-342-3815
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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 |
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License Number State |
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