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General NPI Number Information
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NPI Number | 1518268473
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Entity Type | Organization
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Legal Business Name | MICHAEL E. DEBAKEY VA MEDICAL CENTER
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Dates
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Enumeration Date | 11/09/2010
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 2200 BUSINESS CENTER DR APT 2108
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City | PEARLAND
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State | TX
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Zip | 77584-1361
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Country | US
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Telephone | 281-993-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 BUSINESS CENTER DR APT 2108
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City | PEARLAND
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State | TX
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Zip | 77584-1361
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RESEARCHER TECHNICIAN
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Name | ANDRES ARTURO AVELLANEDA OJEDA
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Credential |
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Telephone | 713-371-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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