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General NPI Number Information
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NPI Number | 1972568392
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Entity Type | Organization
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Legal Business Name | W.G. HEFNER VA MEDICAL CENTER
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1601 BRENNER AVE
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City | SALISBURY
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State | NC
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Zip | 28144-2515
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Country | US
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Telephone | 704-638-9000
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Fax | 704-638-3364
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Provider Business Mailing Address
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Address Line | W.G. HEFNER VA MEDICAL CENTER 1601 BRENNER AVENUE
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City | SALISBURY
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State | NC
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Zip | 28144-2515
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Country | US
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Telephone | 704-638-9000
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Fax | 704-638-3364
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Authorized Official
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Title or Position | COTA/L
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Name | MS. LEANETTA GRAY CHAMBERS
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Credential | 1778
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Telephone | 704-638-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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