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General NPI Number Information
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NPI Number | 1770566093
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Entity Type | Organization
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Legal Business Name | VA NCHCS
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 12/30/2007
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Provider Practice Location Address
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Address Line | 2713 MONTANA SKY DR
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City | REDDING
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State | CA
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Zip | 96002-5186
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Country | US
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Telephone | 530-223-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 2713 MONTANA SKY DR
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City | REDDING
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State | CA
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Zip | 96002-5186
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Country | US
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Telephone | 530-223-1397
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN MANAGER
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Name | DR. LAWRANCE BRATT
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Credential | M.D.
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Telephone | 530-226-7555
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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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