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General NPI Number Information
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NPI Number | 1891660510
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Entity Type | Organization
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Legal Business Name | MARE NOVA MEDICINE, PLLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 181 GREENWOOD RD
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City | WINCHESTER
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State | VA
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Zip | 22602-7922
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Country | US
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Telephone | 540-692-3262
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Fax | 833-764-3906
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Provider Business Mailing Address
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Address Line | 181 GREENWOOD RD
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City | WINCHESTER
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State | VA
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Zip | 22602-7922
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Country | US
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Telephone | 540-692-3262
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Fax | 833-764-3906
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Authorized Official
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Title or Position | OWNER
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Name | ERIC LANGDON MCBRIDE
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Credential | NP
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Telephone | 540-303-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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