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General NPI Number Information
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NPI Number | 1013756857
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Entity Type | Organization
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Legal Business Name | DRKOVAL LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 3020 N MILITARY TRL STE 210
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City | BOCA RATON
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State | FL
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Zip | 33431-1814
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Country | US
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Telephone | 954-600-2056
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 N MILITARY TRL STE 210
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City | BOCA RATON
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State | FL
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Zip | 33431-1814
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Country | US
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Telephone | 954-600-2056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SVITLANA KOVAL
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Credential | DMD, MSC, BDS
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Telephone | 857-218-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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