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All licensees/applicants wishing to change their name with the Board must submit their request using the Name and Address Change Form. Follow the instructions on the form when the required information is submitted. You must submit a copy of a legal document verifying your new name. Update Your Information - Virginia Board of Medicine virginia.gov https://.dhp.virginia.gov › PractitionerResources virginia.gov https://.dhp.virginia.gov › PractitionerResources
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