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General NPI Number Information
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NPI Number | 1679843981
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Entity Type | Organization
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Legal Business Name | VA ANN ARBOR HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-769-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-769-7100
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Fax |
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Authorized Official
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Title or Position | CHIEF, HIOT/SUD IOP
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Name | DEBORAH L AMAYA
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Credential | LMSW, ACSW
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Telephone | 734-845-3023
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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 | 4704286155
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License Number State | MI
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