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General NPI Number Information
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NPI Number | 1053560540
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD # 112C
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-7450
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 HOLCOMBE BLVD # 112C
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-794-7450
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Fax |
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Authorized Official
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Title or Position | STAFF NURSE
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Name | MS. BEVERLY SOLA
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Credential | RN
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Telephone | 713-794-7450
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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 | 11690
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License Number State | PR
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