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General NPI Number Information
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NPI Number | 1376564302
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Entity Type | Organization
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Legal Business Name | INOVA HEALTH CARE SERVICES
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 44045 RIVERSIDE PKWY
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City | LEESBURG
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State | VA
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Zip | 20176-5101
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Country | US
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Telephone | 703-771-2827
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Fax | 703-771-2957
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Provider Business Mailing Address
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Address Line | 8095 INNOVATION PARK DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4868
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Country | US
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Telephone | 540-272-7378
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Fax |
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Authorized Official
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Title or Position | CORPORATE CHIEF FINANCIAL OFFICER
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Name | RICARDO TALENTO
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Credential |
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Telephone | 571-472-8717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H1868
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License Number State | VA
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