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General NPI Number Information
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NPI Number | 1225286172
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Entity Type | Organization
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Legal Business Name | RALPH H. JOHNSON DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 109 BEE ST RESEARCH SERVICE (151)
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-789-6712
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Fax | 843-876-5381
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Provider Business Mailing Address
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Address Line | 109 BEE ST RESEARCH SERVICE (151)
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-789-6712
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Fax | 843-876-5381
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOHN E BARILICH
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Credential |
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Telephone | 843-789-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 9141
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License Number State | SC
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