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General NPI Number Information
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NPI Number | 1942189022
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Entity Type | Organization
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Legal Business Name | MARTHA JEFFERSON HOSPITAL
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2250 IVY RD STE 101
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4977
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Country | US
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Telephone | 434-654-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MARTHA JEFFERSON DR FL 4
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-4668
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Country | US
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Telephone | 434-654-8199
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Fax | 434-654-7324
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Authorized Official
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Title or Position | DIRECTOR, FINANCE
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Name | DEBORAH THEXTON
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Credential |
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Telephone | 434-654-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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