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General NPI Number Information
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NPI Number | 1144334376
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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 | 08/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3027 BROADMEAD DRIVE
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City | HOUSTON
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State | TX
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Zip | 77025-3817
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Country | US
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Telephone | 713-665-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 3027 BROADMEAD DR
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City | HOUSTON
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State | TX
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Zip | 77025-3817
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Country | US
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Telephone | 713-665-6824
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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 | MRS. ROSALVA SHAPIRO
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Credential | RN
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Telephone | 713-665-6824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 602051
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 602051
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License Number State | TX
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