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General NPI Number Information
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NPI Number | 1093094302
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF VIRGINIA
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 1215 LEE ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0265
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Country | US
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Telephone | 434-243-5896
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Fax | 434-982-0788
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Provider Business Mailing Address
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Address Line | 1215 LEE ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0265
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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 | CERTIFICATION OFFICIAL
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Name | STEPHANIE BROWN
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Credential |
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Telephone | 434-243-5896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0024169476
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License Number State | VA
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