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General NPI Number Information
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NPI Number | 1023769874
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Entity Type | Organization
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Legal Business Name | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 1308 SHERWOOD AVE
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City | RICHMOND
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State | VA
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Zip | 23220-1210
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Country | US
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Telephone | 804-628-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 758997
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City | BALTIMORE
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State | MD
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Zip | 21275-8997
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE AND ACCOUNTING
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Name | ELIZABETH ALLEN
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Credential |
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Telephone | 804-628-1338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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