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General NPI Number Information
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NPI Number | 1366734212
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Entity Type | Organization
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Legal Business Name | RECTORS & VISITORS OF THE UNIVERSITY OF VIRGINIA
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 590 PETER JEFFERSON PKWY
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4628
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Country | US
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Telephone | 434-982-6893
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Fax | 434-982-8420
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Provider Business Mailing Address
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Address Line | 590 PETER JEFFERSON PKWY
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4628
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Country | US
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Telephone | 434-982-6893
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Fax | 434-982-8420
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Authorized Official
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Title or Position | CEO
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Name | WENDY HORTON
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Credential |
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Telephone | 434-243-9308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0201004416
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License Number State | VA
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