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General NPI Number Information
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NPI Number | 1144484080
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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 | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 3675 E BRITANNIA DR
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City | TUCSON
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State | AZ
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Zip | 85706-5041
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Country | US
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Telephone | 520-209-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3675 E BRITANNIA DR
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City | TUCSON
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State | AZ
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Zip | 85706-5041
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Country | US
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Telephone | 520-209-3000
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. KATHY REMLEY
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Credential |
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Telephone | 520-209-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 430101080251327
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | T016110
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License Number State | AZ
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