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General NPI Number Information
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NPI Number | 1831688753
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Entity Type | Organization
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Legal Business Name | RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 1 COLLEGE AVE FL HALL1
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City | WISE
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State | VA
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Zip | 24293-4412
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Country | US
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Telephone | 276-376-1005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800750
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22908-0750
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Country | US
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Telephone | 434-924-8344
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENDY HORTON
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Credential |
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Telephone | 434-243-9308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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