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General NPI Number Information
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NPI Number | 1124626494
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Entity Type | Organization
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Legal Business Name | NOVA HEALTH SERVICES CORP
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 9260 SUNSET DR STE 220
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City | MIAMI
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State | FL
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Zip | 33173-3275
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Country | US
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Telephone | 786-254-7107
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Fax | 786-502-8895
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Provider Business Mailing Address
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Address Line | 9260 SUNSET DR STE 220
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City | MIAMI
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State | FL
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Zip | 33173-3275
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Country | US
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Telephone | 786-254-7107
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Fax | 786-502-8895
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Authorized Official
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Title or Position | PRESIDENT
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Name | SONIA HURTADO
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Credential |
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Telephone | 786-498-9678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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