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General NPI Number Information
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NPI Number | 1295842474
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Entity Type | Organization
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Legal Business Name | DEPT OF VETERAN AFFAIRS
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 543 TAYLOR AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1278
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Country | US
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Telephone | 614-257-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 543 TAYLOR AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1278
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. AZEEM ABDUL QURESHI
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Credential | M.D.
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Telephone | 614-257-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 35-07-6374-Q
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License Number State | OH
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