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General NPI Number Information
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NPI Number | 1508672965
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Entity Type | Organization
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Legal Business Name | VICTORIOUS VETERAN RECOURCES, INC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1530 GRAYSON RUN CT
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City | ROSENBERG
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State | TX
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Zip | 77471-6624
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Country | US
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Telephone | 404-906-9643
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 GRAYSON RUN CT
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City | ROSENBERG
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State | TX
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Zip | 77471-6624
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Country | US
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Telephone | 404-906-9643
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA M WINSTON
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Credential |
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Telephone | 404-906-9643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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