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General NPI Number Information
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NPI Number | 1477921641
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Entity Type | Organization
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Legal Business Name | DEFENSE FINANCE & ACTG SERVE AGENT FOR VETERANS AFFAIRS
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD BUILDING 258
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 310-478-3711
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Fax | 310-268-4562
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Provider Business Mailing Address
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Address Line | 11301 WILSHIRE BLVD BUILDING 258
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 310-478-3711
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Fax | 310-268-4562
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT FRIEDMAN
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Credential | LCSW
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Telephone | 310-478-3711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number |
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License Number State |
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