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General NPI Number Information
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NPI Number | 1346932704
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Entity Type | Organization
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Legal Business Name | NOVA SENIOR HEALTHCARE LLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 25838 WARBLER VW
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City | SAN ANTONIO
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State | TX
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Zip | 78255-4401
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Country | US
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Telephone | 718-916-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 25838 WARBLER VW
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City | SAN ANTONIO
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State | TX
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Zip | 78255-4401
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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 | PHYSICAL THERAPIST
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Name | ANKITABEN MAHESHBHAI PATEL
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Credential | RPT
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Telephone | 718-916-2553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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