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NPI 1699798520

NPI 1699798520 : NOVA MEDICAL AND URGENT CARE CENTER, INC. : ASHBURN, VA

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General NPI Number Information
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    NPI Number           |    1699798520
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVA MEDICAL AND URGENT CARE CENTER, INC. 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    21785 FILIGREE CT SUITE 100
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    City                 |    ASHBURN
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    State                |    VA
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    Zip                  |    20147-6213
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    Country              |    US
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    Telephone            |    703-554-1100
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    Fax                  |    703-554-1110
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Provider Business Mailing Address
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    Address Line         |    21785 FILIGREE CT SUITE 100
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    City                 |    ASHBURN
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    State                |    VA
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    Zip                  |    20147-6213
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    Country              |    US
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    Telephone            |    703-554-1100
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    Fax                  |    703-554-1110
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Authorized Official
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    Title or Position    |    MANAGING EMPLOYEE
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    Name                 |     STEVEN P. MARSHAK 
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    Credential           |    M.D.
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    Telephone            |    703-554-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ND0101X
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    Taxonomy Name        |    MOHS-Micrographic Surgery Physician
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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