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General NPI Number Information
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NPI Number | 1518024934
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Entity Type | Organization
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Legal Business Name | UVA CANCER CENTER GAINESVILLE, LLC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 7901 LAKE MANASSAS DR
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City | GAINSVILLE
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State | VA
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Zip | 20155
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Country | US
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Telephone | 703-753-4045
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Fax | 703-753-8037
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Provider Business Mailing Address
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Address Line | PO BOX 800750
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0750
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Country | US
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Telephone | 434-924-8344
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHARLES D CODER
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Credential |
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Telephone | 804-835-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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