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General NPI Number Information
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NPI Number | 1821350497
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Entity Type | Organization
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Legal Business Name | DEPARTMENT OF VETERANS AFFAIRS MEDS BY MAIL
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 2103 VETERANS BLVD UNIT 2
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City | DUBLIN
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State | GA
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Zip | 31021-7502
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Country | US
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Telephone | 478-274-5534
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Fax | 478-274-5536
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Provider Business Mailing Address
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Address Line | 2103 VETERANS BLVD UNIT 2
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City | DUBLIN
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State | GA
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Zip | 31021-7502
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Country | US
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Telephone | 478-274-5534
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Fax | 478-274-5536
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Authorized Official
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Title or Position | EBILLING PROJECT MANAGER
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Name | LISA DUNCAN
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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 | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number |
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License Number State |
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