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General NPI Number Information
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NPI Number | 1093437725
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Entity Type | Organization
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Legal Business Name | JONES & CABACOY VETERANS CARE CENTER
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 2641 NIMMO PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-9134
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Country | US
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Telephone | 757-663-6308
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Fax |
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Provider Business Mailing Address
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Address Line | 2641 NIMMO PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-9134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | DAVID PAYNE
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Credential |
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Telephone | 757-831-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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