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General NPI Number Information
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NPI Number | 1245980929
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Entity Type | Individual
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Provider Name | EVELYN BODENSCHATZ
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 06/28/2025
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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 | 22908-0816
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Country | US
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Telephone | 434-924-5348
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Fax |
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Provider Business Mailing Address
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Address Line | 40 E MCMICKEN AVE
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City | CINCINNATI
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State | OH
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Zip | 45202-6625
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Country | US
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Telephone | 513-961-0600
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Fax | 434-924-8335
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.153698
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License Number State | OH
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