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1316478266
BENJAMIN IRVINE
CHARLOTTESVILLE, VA
NPI
1316478266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0101282203)
Enumeration Date
2017-03-22
Last Update Date
2024-06-18
Business Address
BENJAMIN IRVINE MD
1215 LEE ST BOX 800158
CHARLOTTESVILLE, VA 22908-1473
Phone number: 434-243-1000
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Mailing Address
BENJAMIN IRVINE MD
1215 LEE ST BOX 800158
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-243-1000
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