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General NPI Number Information
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NPI Number | 1952264772
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Entity Type | Organization
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Legal Business Name | MUSKOGEE VAMC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 440 S HOUSTON AVE
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City | TULSA
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State | OK
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Zip | 74127-8903
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Country | US
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Telephone | 913-578-4409
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94517
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City | CLEVELAND
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State | OH
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Zip | 44101-4517
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Country | US
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Telephone | 913-578-4409
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Fax |
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Authorized Official
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Title or Position | NPI TEAM
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Name | ERIN DENISE POTTER
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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