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General NPI Number Information
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NPI Number | 1245574656
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Entity Type | Organization
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Legal Business Name | VETERANS AFFAIRS NORTH TEXAS HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 4500 S LANCASTER RD
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 214-467-1826
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Fax | 214-467-1898
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Provider Business Mailing Address
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Address Line | 4901 WALTON HEATH DR
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City | GARLAND
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State | TX
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Zip | 75044-5124
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Country | US
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Telephone | 213-395-7529
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Fax | 214-467-1898
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MRS. SHELIA T. COLE
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Credential | LMSW
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Telephone | 214-467-1826
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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 | 14731
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License Number State | TX
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