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General NPI Number Information
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NPI Number | 1619475027
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Entity Type | Organization
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Legal Business Name | HUNTINGTON VAMC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1540 SPRING VALLEY DR
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City | HUNTINGTON
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State | WV
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Zip | 25704-9300
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Country | US
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Telephone | 828-257-2333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94496
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City | CLEVELAND
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State | OH
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Zip | 44101-4496
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Country | US
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Telephone | 828-257-2333
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Fax |
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Authorized Official
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Title or Position | NPI TEAM MEMBER
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Name | ERIN DENISE POTTER
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Credential |
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Telephone | 202-382-2579
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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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