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General NPI Number Information
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NPI Number | 1629231303
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Entity Type | Organization
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Legal Business Name | NOVA HOME CARE LLC
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 20020 ASHBROOK COMMONS PLZ 114
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City | ASHBURN
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State | VA
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Zip | 20147-5032
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Country | US
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Telephone | 703-574-2913
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Fax |
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Provider Business Mailing Address
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Address Line | 20020 ASHBURN COMMONS PLAZA 114
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-574-2913
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MARJORIE JOY CARTER-NJINJOH
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Credential |
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Telephone | 240-447-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | B810950
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License Number State | VA
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