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General NPI Number Information
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NPI Number | 1952568776
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Entity Type | Organization
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Legal Business Name | VHACTX
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 332 PEANUT DR
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City | TEMPLE
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State | TX
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Zip | 76502-5289
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Country | US
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Telephone | 979-255-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 332 PEANUT DR
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City | TEMPLE
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State | TX
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Zip | 76502-5289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | MRS. LESA MURRAY
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Credential |
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Telephone | 254-743-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2865M2000X
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Taxonomy Name | Military General Acute Care Hospital
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License Number | 740976
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License Number State | TX
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