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General NPI Number Information
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NPI Number | 1578355228
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Entity Type | Individual
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Provider Name | CHRISTIAN C AVILA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1201 BROAD ROCK BLVD
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City | RICHMOND
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State | VA
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Zip | 23249-0001
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Country | US
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Telephone | 804-675-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1461 VANCE CIR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3267
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Country | US
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Telephone | 757-818-3091
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202219766
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0202219766
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License Number State | VA
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