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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Women |
282NW0100X |
| NPI Number | 1124880133 |
| LBN Legal business name | ELLIS HOSPITAL |
| Authorized official | CYNTHIA WICKS - (MANAGER ACCOUNT RECEIVABLE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 01/25/2024 |
| Last updated | 01/25/2024 - About 2 years ago |
| Identifiers | n/a |
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ELLIS HOSPITAL
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ELLIS HOSPITAL