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General NPI Number Information
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NPI Number | 1275495798
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Entity Type | Organization
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Legal Business Name | COVINGTON CANCER FOUNDATION
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 417 LILY PAD CT
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City | ZEBULON
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State | NC
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Zip | 27597-9266
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Country | US
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Telephone | 919-438-1630
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1299
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City | ZEBULON
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State | NC
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Zip | 27597-1299
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Country | US
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Telephone | 919-438-1630
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Fax |
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Authorized Official
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Title or Position | CEO / FOUNDER
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Name | YULANDER COVINGTON
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Credential | MHA
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Telephone | 919-622-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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