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General NPI Number Information
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NPI Number | 1639438096
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Entity Type | Organization
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Legal Business Name | VETERANS HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 101 BIKEWAY LN
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1402
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Country | US
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Telephone | 210-875-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BIKEWAY LN
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1402
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Country | US
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Telephone | 210-875-2668
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR CLINICAL PRACTIC
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Name | MARTHE JEAN MOSELEY
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Credential | PHD, RN, CCNS
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Telephone | 210-875-2668
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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 | 545736
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License Number State | TX
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