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General NPI Number Information
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NPI Number | 1306708383
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Entity Type | Organization
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Legal Business Name | NOVA HEALTH GROUP LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 669 BROAD AVE STE 101
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City | RIDGEFIELD
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State | NJ
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Zip | 07657-1631
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Country | US
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Telephone | 201-960-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 13 COLONIAL RD
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City | TENAFLY
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State | NJ
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Zip | 07670-1412
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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 | MANAGING MEMBER
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Name | DR. ZHONGYING LIU-AN
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Credential | MD
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Telephone | 201-960-5808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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