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General NPI Number Information
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NPI Number | 1124373360
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Entity Type | Organization
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Legal Business Name | AUDIE L. MURPHY MEMORIAL VA HOSPITAL
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-617-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-617-5300
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Fax |
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Authorized Official
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Title or Position | RRT/STAFF THERAPIST
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Name | MR. GEOFFERY GERARD STOKELIN
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Credential | BSRC RRT
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Telephone | 210-617-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number | 56575
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License Number State | TX
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