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General NPI Number Information
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NPI Number | 1093084063
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Entity Type | Organization
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Legal Business Name | VIRGINIA COMMONWEALTH UNIVERSITY
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 800 E. LEIGH STREET
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City | RICHMOND
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State | VA
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Zip | 23284-3039
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Country | US
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Telephone | 804-828-0033
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Fax | 804-828-8644
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Provider Business Mailing Address
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Address Line | 800 E. LEIGH STREET BOX 843039
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City | RICHMOND
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State | VA
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Zip | 23284-3039
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Country | US
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Telephone | 804-828-0033
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Fax | 804-828-8644
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Authorized Official
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Title or Position | ASSOC VP FOR RESEARCH & COMPLIANCE
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Name | SUSAN E ROBB
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Credential |
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Telephone | 804-828-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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