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General NPI Number Information
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NPI Number | 1356254692
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Entity Type | Organization
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Legal Business Name | NOVA MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2021 KAUFFMAN LOOP UNIT 310
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City | GEORGETOWN
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State | TX
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Zip | 78628-1460
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Country | US
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Telephone | 512-864-5648
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 KAUFFMAN LOOP UNIT 310
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City | GEORGETOWN
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State | TX
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Zip | 78628-1460
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Country | US
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Telephone | 512-864-5648
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MR. DORIAN K SHEVIZ
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Credential | PA-C
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Telephone | 512-864-5648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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