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General NPI Number Information
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NPI Number | 1588933733
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Entity Type | Organization
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Legal Business Name | VETERNS HOSPITAL
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 213 E 139TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-2115
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Country | US
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Telephone | 310-538-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 213 E. 139H STREET
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City | LOS ANGELES
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State | CA
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Zip | 90061
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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 | SOCIAL WORKER
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Name | TAMIKA HOLLINS
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Credential |
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Telephone | 310-538-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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