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General NPI Number Information
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NPI Number | 1760906747
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Entity Type | Organization
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Legal Business Name | NOVA NEUROSCIENCE
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8230 BOONE BLVD STE 360
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City | VIENNA
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State | VA
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Zip | 22182-2632
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Country | US
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Telephone | 703-748-1000
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Fax | 703-748-1010
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Provider Business Mailing Address
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Address Line | 8230 BOONE BLVD STE 360
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City | VIENNA
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State | VA
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Zip | 22182-2632
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Country | US
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Telephone | 703-748-1000
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Fax | 703-748-1010
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Authorized Official
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Title or Position | MANAGING PROVIDER
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Name | BUELENT YAPICILAR
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Credential | MD
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Telephone | 703-748-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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