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General NPI Number Information
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NPI Number | 1407947559
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE OPHTHALMOLOGY PLLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 626 BERKMAR CIRCLE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 434-295-3227
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Fax | 434-295-9527
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Provider Business Mailing Address
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Address Line | 626 BERKMAR CIRCLE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 434-295-3227
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Fax | 434-295-9527
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. ASHLEY HAMILTON SCHAUER
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Credential | MD
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Telephone | 434-295-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | VA
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