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General NPI Number Information
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NPI Number | 1619422052
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Entity Type | Organization
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Legal Business Name | VETERANS HEALTH ADMINISTRATION
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 2141 E CAMELBACK RD SUITE 210
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City | PHOENIX
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State | AZ
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Zip | 85016-4764
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Country | US
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Telephone | 602-626-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 E CAMELBACK RD SUITE 210
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City | PHOENIX
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State | AZ
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Zip | 85016-4764
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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 | HR CONSULTANT
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Name | CARLY MELEWSKI
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Credential |
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Telephone | 216-791-2300
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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 | AP131253
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License Number State | TX
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