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General NPI Number Information
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NPI Number | 1326678731
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Entity Type | Organization
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Legal Business Name | NOVA VASCULAR SPECIALISTS, LLC
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 34 N PHILADELPHIA BLVD STE 100
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City | ABERDEEN
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State | MD
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Zip | 21001-2511
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Country | US
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Telephone | 443-610-2824
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Fax | 410-847-2316
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Provider Business Mailing Address
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Address Line | PO BOX 756
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City | ABINGDON
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State | MD
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Zip | 21009-0756
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Country | US
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Telephone | 443-267-4955
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Fax | 410-847-2316
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Authorized Official
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Title or Position | MEMBER
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Name | MOHAMMED M. CHAUDRY
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Credential | MD
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Telephone | 443-750-2355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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