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General NPI Number Information
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NPI Number | 1649466970
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Entity Type | Organization
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Legal Business Name | RONALD MCDONALD HOUSE OF CHARLOTTESVILLE
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 300 9TH ST SW
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-3454
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Country | US
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Telephone | 434-295-1885
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Fax | 434-295-7735
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Provider Business Mailing Address
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Address Line | 300 9TH ST SW
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-3454
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Country | US
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Telephone | 434-295-1885
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Fax | 434-295-7735
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. KIM MCKEAN
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Credential |
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Telephone | 434-295-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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