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General NPI Number Information
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NPI Number | 1306035225
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF VETERAN AFFAIRS
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 1513 PICKENS STREET THE VET CENTER
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-765-9944
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Fax | 803-799-6267
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Provider Business Mailing Address
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Address Line | 1513 PICKENS STREET THE VET CENTER
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-765-9944
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Fax | 803-799-6267
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | MRS. ALISON ELIZABETH BOWERS
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Credential | LISW-CP
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Telephone | 803-765-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6470
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License Number State | SC
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