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General NPI Number Information
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NPI Number | 1316809080
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Entity Type | Organization
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Legal Business Name | KOVO CLINICS TX, P.A.
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2504 SACRAMENTO ST APT 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2234
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Country | US
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Telephone | 832-956-0609
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 SACRAMENTO ST APT 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YURY YAKUBCHYK
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Credential | MD
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Telephone | 832-956-0609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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