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General NPI Number Information
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NPI Number | 1669511051
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Entity Type | Organization
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Legal Business Name | INOVA HEALTH CARE SERVICES
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 2740 PROSPERITY AVE STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-4354
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Country | US
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Telephone | 703-321-2600
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Fax | 703-321-2603
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Provider Business Mailing Address
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Address Line | 2740 PROSPERITY AVE STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-4354
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Country | US
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Telephone | 703-321-2600
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Fax | 703-321-2603
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ALICE POPE
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Credential |
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Telephone | 703-289-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 0904007138
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904003766
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904006670
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904006648
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904005277
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904005185
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 904006926
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 0110002560
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License Number State | VA
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Taxonomy #9
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 110001575
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License Number State | VA
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Taxonomy #10
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 24165284
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License Number State | VA
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Taxonomy #11
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 24168406
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | H1921
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License Number State | VA
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