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General NPI Number Information
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NPI Number | 1881930097
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Entity Type | Organization
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Legal Business Name | DEFENSE FINANCE ACTG SERV AGENT FOR VETERANS AFFAIRS
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Dates
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Enumeration Date | 12/14/2012
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Last Update Date | 12/14/2012
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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 | 11881 GULF POINTE DR APT D12
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City | HOUSTON
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State | TX
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Zip | 77089-2741
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Country | US
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Telephone | 210-421-5144
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Fax |
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Authorized Official
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Title or Position | CHIEF OF ANESTHESIA
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Name | PRASAD ATLURI
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Credential | MD
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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 | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | TX
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