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General NPI Number Information
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NPI Number | 1487523783
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Entity Type | Organization
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Legal Business Name | NOVA IV THERAPY, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 21475 RIDGETOP CIR STE 360
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City | STERLING
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State | VA
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Zip | 20166-6580
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Country | US
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Telephone | 703-421-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 13728 ROSETREE CT
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City | CHANTILLY
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State | VA
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Zip | 20151-3378
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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 | BUSINESS MANAGER
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Name | MS. ARETI M GOURZIS
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Credential |
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Telephone | 703-926-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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