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General NPI Number Information
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NPI Number | 1669561791
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Entity Type | Organization
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Legal Business Name | ADVANCED DERMATOLOGY OF CHARLOTTESVILLE, PLC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 600 PETER JEFFERSON PKWY STE 310
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8836
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Country | US
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Telephone | 434-977-0027
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Fax | 434-923-3376
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Provider Business Mailing Address
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Address Line | 600 PETER JEFFERSON PKWY STE 310
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-8836
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Country | US
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Telephone | 434-977-0027
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Fax | 434-923-3376
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Authorized Official
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Title or Position | OWNER
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Name | DR. VANDANA SOOD NANDA
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Credential | M.D.
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Telephone | 434-977-0027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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