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General NPI Number Information
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NPI Number | 1346312600
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOSEPH COVERT-BOWLDS MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 5616 3RD AVENUE
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City | FERNDALE
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State | WA
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Zip | 98248
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Country | US
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Telephone | 360-752-7410
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Fax | 360-383-0808
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Provider Business Mailing Address
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Address Line | 220 UNITY ST
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City | BELLINGHAM
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State | WA
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Zip | 98225-4429
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Country | US
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Telephone | 360-676-6177
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Fax | 360-527-8778
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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 | MD00031057
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License Number State | WA
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