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General NPI Number Information
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NPI Number | 1255802054
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH LLC
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 4105 LEWIS AND CLARK DR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-5801
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Country | US
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Telephone | 434-295-1000
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Fax | 434-972-4266
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Provider Business Mailing Address
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Address Line | PO BOX 749112
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City | ATLANTA
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State | GA
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Zip | 30374-9112
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Country | US
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Telephone | 434-295-1000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH JUST
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Credential |
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Telephone | 434-972-4285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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