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General NPI Number Information
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NPI Number | 1487699187
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1055 CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-5164
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Provider Business Mailing Address
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Address Line | 1055 CLERMONT ST
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City | DENVER
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State | CO
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Zip | 80220-3808
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Country | US
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Telephone | 303-399-8020
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Fax | 303-393-5164
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. JOY LAVONNE EVANS
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Credential | PT
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Telephone | 303-399-8020
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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 | 2340
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License Number State | CO
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