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General NPI Number Information
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NPI Number | 1992003768
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Entity Type | Organization
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Legal Business Name | PUTNAM WESTCHESTER SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 672 STONELEIGH AVE SUITE C-116
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City | CARMEL
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State | NY
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Zip | 10512-4634
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Country | US
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Telephone | 845-582-0919
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Fax | 845-582-0922
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Provider Business Mailing Address
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Address Line | 672 STONELEIGH AVE SUITE C-116
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City | CARMEL
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State | NY
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Zip | 10512-4634
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Country | US
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Telephone | 845-582-0911
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Fax | 845-582-0922
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL MCDONNELL CATHCART
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Credential | M.D.
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Telephone | 845-582-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 228725
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 137996
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License Number State | NY
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