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General NPI Number Information
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NPI Number | 1427060268
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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 | 08/12/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 8311 LETTIE ST
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City | HOUSTON
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State | TX
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Zip | 77075-4723
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Country | US
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Telephone | 504-931-3283
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Fax |
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Authorized Official
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Title or Position | ADDICTION THERAPIST
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Name | MRS. SANDRA QUINN OUBRE
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Credential |
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Telephone | 713-791-1414
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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 |
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License Number State |
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