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General NPI Number Information
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NPI Number | 1386745842
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Entity Type | Organization
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Legal Business Name | INOVA HEALTH SYSTEM
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 703-504-3600
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Fax | 703-504-3865
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Provider Business Mailing Address
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Address Line | 4320 SEMINARY RD
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1535
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Country | US
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Telephone | 703-504-3600
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Fax | 703-504-3865
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Authorized Official
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Title or Position | OUTPATIENT PHARMACY SUPERVISOR
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Name | MARY ELAINE HUBBARD
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Credential |
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Telephone | 703-504-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | 0201000964
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License Number State | VA
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