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General NPI Number Information
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NPI Number | 1942803960
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Entity Type | Organization
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Legal Business Name | NOVA MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 106 ELDEN STREET UNIT 10
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City | HERNDON
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State | VA
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Zip | 20170
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Country | US
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Telephone | 703-495-3176
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Fax |
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Provider Business Mailing Address
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Address Line | 14383 NEWBROOK DRIVE SUITE # 300, PMB-433
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City | CHANTILLY
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State | VA
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Zip | 20151
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Country | US
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Telephone | 703-495-3176
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SAPNA SHARMA
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Credential | MD
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Telephone | 703-495-3176
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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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