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General NPI Number Information
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NPI Number | 1588001481
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Entity Type | Organization
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Legal Business Name | MICHAEL E. DEBAKEY VETERANS AFFAIRS MEDICAL CENTER
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030
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Country | US
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Telephone | 832-212-0834
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Fax |
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Provider Business Mailing Address
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Address Line | 8402 WAYFARER LN
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City | HOUSTON
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State | TX
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Zip | 77075
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Country | US
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Telephone | 832-212-0834
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MR. EMILIO HERRERA III
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Credential |
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Telephone | 832-212-0834
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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 |
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License Number State |
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