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General NPI Number Information
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NPI Number | 1982708301
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Entity Type | Organization
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Legal Business Name | MICHAEL E. DEBAKEY VA MEDICAL CTR.
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Dates
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Enumeration Date | 09/08/2006
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Last Update Date | 08/22/2020
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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 | 1950 ELDRIDGE PKWY 12201
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City | HOUSTON
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State | TX
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Zip | 77077-3447
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Country | US
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Telephone | 281-752-8436
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Fax |
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Authorized Official
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Title or Position | LVN
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Name | DEBRA DENESE WILLIAMS
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Credential |
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Telephone | 281-752-8436
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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 | 151758
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License Number State | TX
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