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General NPI Number Information
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NPI Number | 1083082887
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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 | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 901 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1729
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Country | US
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Telephone | 415-489-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 901 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1729
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Country | US
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Telephone | 415-489-3303
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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 | AMADA YOLANDA ARREDONDO
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Credential | MSW
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Telephone | 415-489-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 64194
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License Number State | CA
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