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General NPI Number Information
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NPI Number | 1366785081
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF VIRGINIA
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 2955 IVY RD SUITE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-9353
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Country | US
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Telephone | 434-243-4769
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Fax | 434-243-4747
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Provider Business Mailing Address
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Address Line | 2955 IVY RD SUITE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-9353
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Country | US
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Telephone | 434-243-4769
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Fax | 434-243-4747
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Authorized Official
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Title or Position | MANAGER-OUTPATIENT CARDIOLOGY
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Name | KATHY WARD
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Credential |
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Telephone | 434-243-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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