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General NPI Number Information
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NPI Number | 1659179109
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Entity Type | Organization
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Legal Business Name | NOVA HOME CARE AGENCY
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 8251 SINGLELEAF LN
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City | LORTON
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State | VA
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Zip | 22079-5635
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Country | US
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Telephone | 571-337-8843
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Fax |
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Provider Business Mailing Address
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Address Line | 8251 SINGLELEAF LN
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City | LORTON
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State | VA
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Zip | 22079-5635
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Country | US
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Telephone | 571-337-8843
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MS. RAZIA MOHAMAD MOHAMAD HASHEM
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Credential |
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Telephone | 571-337-8843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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