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General NPI Number Information
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NPI Number | 1518556950
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Entity Type | Organization
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Legal Business Name | UNIVERSITY VASCULAR SERVICES
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 800 MEMORIAL DR STE C
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City | DANVILLE
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State | VA
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Zip | 27518-2454
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Country | US
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Telephone | 434-528-1909
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Fax | 276-632-7555
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Provider Business Mailing Address
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Address Line | 2054 KILDAIRE FARM RD # 229
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City | CARY
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State | NC
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Zip | 27518-6614
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Country | US
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Telephone | 434-528-1909
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Fax | 276-632-7555
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Authorized Official
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Title or Position | OWNER
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Name | DR. SREEJIT NAIR
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Credential | MD
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Telephone | 434-528-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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