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General NPI Number Information
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NPI Number | 1962824037
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Entity Type | Organization
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Legal Business Name | UVA HEMOPHILIA TREATMENT CENTER
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Dates
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Enumeration Date | 01/09/2014
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Last Update Date | 01/09/2014
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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 | 22908-0816
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Country | US
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Telephone | 800-291-0654
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Fax |
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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 | ASSISTANT VICE PRESIDENT FOR RESEAR
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Name | GERALD J KANE JR.
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Credential |
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Telephone | 434-924-4274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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