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General NPI Number Information
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NPI Number | 1669352050
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Entity Type | Organization
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Legal Business Name | VETERANS HOSPITAL
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 17273 STATE ROUTE 104
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9718
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Country | US
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Telephone | 740-935-6961
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Fax |
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Provider Business Mailing Address
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Address Line | 17273 STATE ROUTE 104
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9718
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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 | LPN
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Name | JAMIE ERWIN
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Credential |
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Telephone | 740-395-6961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State |
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