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NPI 1760977037

NPI 1760977037 : UNIVERSITY OF VIRGINIA HEALTH SYSTEM : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1760977037
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF VIRGINIA HEALTH SYSTEM 
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Dates
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    Enumeration Date     |    06/28/2018
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    Last Update Date     |    07/01/2018
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Provider Practice Location Address
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    Address Line         |    1215 LEE ST 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22908
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    Country              |    US
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    Telephone            |    434-760-4497
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    Fax                  |    434-244-7553
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Provider Business Mailing Address
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    Address Line         |    1215 LEE ST 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22908-0816
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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    |    PGY2 PHARMACY INFORMATICS RESIDENT
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    Name                 |     JOHN HUNTER SCHOONOVER 
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    Credential           |    PHARMD
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    Telephone            |    864-216-3225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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       |    0202216742
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    License Number State |    VA
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