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General NPI Number Information
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NPI Number | 1063400117
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Entity Type | Individual
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Provider Name | CHRISTIAN A KOVATS DO
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3821 WOODBRIAR TRL STE 6
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City | PORT ORANGE
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State | FL
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Zip | 32129-9611
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Country | US
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Telephone | 845-996-8177
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Fax | 718-362-1651
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Provider Business Mailing Address
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Address Line | 3821 WOODBRIAR TRL STE 6
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City | PORT ORANGE
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State | FL
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Zip | 32129-9611
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Country | US
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Telephone | 845-996-8177
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Fax | 718-362-1651
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0005530
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License Number State | FL
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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 | OP00001040
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License Number State | WA
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