| Name | Value |
|---|---|
| PROVIDER TYPE | Other Service Providers |
| CLASSIFICATION | Veterinarian |
| DEFINITION | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| STATUS | Active |
| VA CODE | V082000 |
| X12 CODE | 174M00000X |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5253221 |
| EFFECTIVE DATE/TIME |
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