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General NPI Number Information
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NPI Number | 1982862017
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Entity Type | Organization
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Legal Business Name | MIAMI VA HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1120 NW 14TH ST STE 1317
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City | MIAMI
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State | FL
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Zip | 33136-2107
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Country | US
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Telephone | 305-243-1164
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Fax |
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Provider Business Mailing Address
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Address Line | 18180 SW 83RD AVE
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-6172
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Country | US
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Telephone | 305-243-1164
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Fax | 305-243-7525
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Authorized Official
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Title or Position | PROFESSOR
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Name | DR. ASHOK VERMA
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Credential | M.D.
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Telephone | 305-243-1164
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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 | ME69592
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License Number State | FL
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