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General NPI Number Information
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NPI Number | 1326194762
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Entity Type | Organization
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Legal Business Name | R. DRAKE COVEY DDS LTD
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 101 CANDLEWOOD COURT
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City | LYNCHBURG
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State | VA
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Zip | 24502
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Country | US
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Telephone | 434-239-6948
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Fax | 434-239-9158
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Provider Business Mailing Address
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Address Line | 7802 TIMBERLAKE ROAD
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City | LYNCHBURG
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State | VA
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Zip | 24502
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Country | US
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Telephone | 434-239-6948
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Fax | 434-239-9158
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Authorized Official
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Title or Position | DENTIST
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Name | ROBERT DRAKE COVEY
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Credential | DDS
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Telephone | 434-239-6948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401004221
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401005417
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License Number State | VA
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