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General NPI Number Information
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NPI Number | 1134177694
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Entity Type | Organization
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Legal Business Name | NEW YORK VAMC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 17900 LINDEN BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-1468
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Country | US
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Telephone | 718-526-1000
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Fax | 718-298-8762
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Provider Business Mailing Address
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Address Line | PO BOX 94443
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City | CLEVELAND
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State | OH
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Zip | 44101-4443
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Country | US
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Telephone | 717-277-6567
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Fax |
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Authorized Official
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Title or Position | NPI TEAM MEMBER
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Name | MS. ERIN POTTER
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Credential |
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Telephone | 202-382-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number |
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License Number State |
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