Name | Value |
---|---|
PROVIDER TYPE | Other Service Providers |
CLASSIFICATION | Specialist |
AREA OF SPECIALIZATION | Research Study |
STATUS | Active |
VA CODE | V081904 |
X12 CODE | 1744R1102X |
INDIVIDUAL/NON | INDIVIDUAL |
MASTER ENTRY FOR VUID | YES |
VUID | 5253212 |
EFFECTIVE DATE/TIME |
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