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General NPI Number Information
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NPI Number | 1558206383
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Entity Type | Organization
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Legal Business Name | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1330 N 25TH ST
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City | RICHMOND
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State | VA
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Zip | 23223-5243
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Country | US
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Telephone | 804-537-0103
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 980042
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City | RICHMOND
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State | VA
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Zip | 23298-0042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FACILITY ENROLLMENT SUPERVISOR
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Name | SANDRA NOEL
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Credential |
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Telephone | 434-594-8991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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