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General NPI Number Information
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NPI Number | 1245118330
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Entity Type | Organization
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Legal Business Name | VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC 4 RIVERSIDE CIRCLE, MOLECULAR DIAGNOSTICS LAB
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City | ROANOKE
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State | VA
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Zip | 24016-4950
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Country | US
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Telephone | 540-526-2630
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Fax |
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Provider Business Mailing Address
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Address Line | FRALIN BIOMEDICAL RESEARCH INSTITUTE AT VTC 4 RIVERSIDE CIRCLE, MOLECULAR DIAGNOSTICS LAB
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City | ROANOKE
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State | VA
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Zip | 24016-4950
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Country | US
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Telephone | 540-526-2630
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT AND CHIEF
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Name | AMY S SEBRING
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Credential |
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Telephone | 540-231-7912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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