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General NPI Number Information
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NPI Number | 1235239401
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Entity Type | Organization
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Legal Business Name | CHARLOTTESVILLE ORTHOPAEDIC CENTER, PLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 183 SPOTNAP RD SUITE C
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8812
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Country | US
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Telephone | 434-244-8412
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Fax | 434-244-8415
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Provider Business Mailing Address
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Address Line | 183 SPOTNAP RD SUITE C
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8812
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Country | US
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Telephone | 434-244-8412
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Fax | 434-244-8415
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A NIELSEN
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Credential | DO
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Telephone | 434-244-8412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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