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NPI Code Detail

MEDICARE: VETERANS AFFAIRS

MEDICARE: VETERANS AFFAIRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital0199NC

General Provider Information

NPI Number : 1487980033
Entity Type Code : Organization
Provider Name (Legal Business Name) : VETERANS AFFAIRS
Provider Business Mailing Address
First Line : 1426 IDA ST APT J
Second Line :
City : DURHAM
State : NC
Zip : 27705-3330
Country : US
Telephone Number : 919-801-3485
Fax Number :
Provider Business Practice Location Address
First Line : 1426 IDA ST APT J
Second Line :
City : DURHAM
State : NC
Zip : 27705-3330
Country : US
Telephone Number : 919-801-3485
Fax Number :
Authorized Official
Title or Position : PHYSICIAN ASSISTANT
Name : MRS. CYNTHIA MARIE GARY
Credential : PA
Telephone Number : 919-801-3485
Provider Enumeration Date : 11/02/2009
Last Update Date : 11/02/2009

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Directions to “VETERANS AFFAIRS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.