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General NPI Number Information
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NPI Number | 1669600367
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Entity Type | Organization
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Legal Business Name | NOVA HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 10680 MAIN ST STE 230
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City | FAIRFAX
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State | VA
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Zip | 22030-3816
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Country | US
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Telephone | 703-865-4860
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Fax | 703-891-9493
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Provider Business Mailing Address
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Address Line | 10680 MAIN ST STE 230
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City | FAIRFAX
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State | VA
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Zip | 22030-3816
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Country | US
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Telephone | 703-327-6098
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Fax | 703-891-9493
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Authorized Official
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Title or Position | MANAGER
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Name | MR. ALI AWIL ABDI
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Credential |
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Telephone | 703-865-4860
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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
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License Number |
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License Number State |
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