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General NPI Number Information
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NPI Number | 1215943121
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Entity Type | Individual
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Provider Name | TODD R. COVEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 180 E PULASKI RD
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-1915
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Country | US
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Telephone | 631-425-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 180 E PULASKI RD
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-1915
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Country | US
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Telephone | 631-425-2121
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Fax |
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | ME91883
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 200749-1
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License Number State | NY
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