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General NPI Number Information
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NPI Number | 1013075811
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Entity Type | Organization
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Legal Business Name | VETERAN'S ADMINISTRATION HOSPITAL
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 211 BELLEVUE ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-6407
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Country | US
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Telephone | 617-469-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 211 BELLEVUE ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-6407
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Country | US
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Telephone | 617-469-3636
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | PATRICIA FALETRA
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Credential | LICSW
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Telephone | 857-203-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 11870
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License Number State | MA
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