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General NPI Number Information
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NPI Number | 1114865789
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Entity Type | Organization
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Legal Business Name | UVA PRINCE WILLIAM MEDICAL CENTER
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 8700 SUDLEY RD
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City | MANASSAS
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State | VA
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Zip | 20110-4418
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Country | US
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Telephone | 703-369-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800750
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0750
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Country | US
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Telephone | 434-924-8344
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | CHARLES DONALD CODER
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Credential |
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Telephone | 571-284-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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