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General NPI Number Information
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NPI Number | 1275784050
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Entity Type | Organization
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Legal Business Name | VA MEDICAL CENTER
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 236 POCHIN PL
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City | HAMPTON
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State | VA
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Zip | 23661-2902
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Country | US
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Telephone | 757-722-1840
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Fax |
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Provider Business Mailing Address
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Address Line | 236 POCHIN PL
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City | HAMPTON
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State | VA
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Zip | 23661-2902
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Country | US
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Telephone | 757-722-1840
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Fax |
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Authorized Official
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Title or Position | RN
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Name | ALBA ORTIZ
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Credential |
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Telephone | 757-722-9961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0001197273
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License Number State | VA
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