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General NPI Number Information
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NPI Number | 1508263369
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Entity Type | Organization
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Legal Business Name | BOSTON VA HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 940 BELMONT ST BOSTON HEALTHCARE SYSTEM
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City | BROCKTON
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State | MA
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Zip | 02301
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Country | US
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Telephone | 774-826-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 940 BELMONT ST BOSTON HEALTHCARE SYSTEM
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City | BROCKTON
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State | MA
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Zip | 02301
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Country | US
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Telephone | 774-826-1257
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | DONNA WELLS
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Credential |
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Telephone | 774-826-1257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | A
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number | A
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2865X1600X
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Taxonomy Name | Operational (Transportable) Military General Acute Care Hospital
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License Number | A
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | A
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | A
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License Number State | MA
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