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NPI 1275344954

NPI 1275344954 : MARGARET PEERY MONROE : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1275344954
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET PEERY MONROE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/14/2025
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    550 BRANDON AVE 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22903-3312
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    Country              |    US
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    Telephone            |    434-924-0311
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2161 CASTLEBRIDGE RD 
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    City                 |    MIDLOTHIAN
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    State                |    VA
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    Zip                  |    23113-4008
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    Country              |    US
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    Telephone            |    804-869-0462
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    Fax                  |    
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    VA
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