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General NPI Number Information
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NPI Number | 1871778100
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Entity Type | Organization
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Legal Business Name | M.E.DEBAKEY VETERANS HOSPITAL
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Dates
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Enumeration Date | 01/05/2008
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Last Update Date | 01/05/2008
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77030-4211
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Country | US
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Telephone | 713-791-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 7962 DAWNRIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77071-2503
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Country | US
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Telephone | 713-729-6480
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Fax |
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Authorized Official
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Title or Position | RN/CONSULT COORDINATOR
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Name | JACQUELYN LORRAINE STARKS
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Credential | RN
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Telephone | 713-791-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 454837
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License Number State | TX
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