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General NPI Number Information
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NPI Number | 1508707969
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Entity Type | Organization
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Legal Business Name | NOVA VIA DX LLC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 2221 N ROSEMONT BLVD STE 3200
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City | TUCSON
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State | AZ
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Zip | 85712-2113
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Country | US
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Telephone | 520-217-1161
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 N ROSEMONT BLVD STE 3200
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City | TUCSON
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State | AZ
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Zip | 85712-2113
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Country | US
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Telephone | 520-217-1161
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | MS. STEPHANIE JOLLY
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Credential |
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Telephone | 480-543-7432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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