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General NPI Number Information
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NPI Number | 1366973505
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Entity Type | Individual
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Provider Name | JEFFREY DANIEL COVINGTON M.D., PHD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 3290 KNIGHT ST
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City | SHREVEPORT
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State | LA
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Zip | 71105-2720
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Country | US
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Telephone | 318-621-8820
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Fax | 318-841-9547
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Provider Business Mailing Address
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Address Line | PO BOX 3780
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City | TUPELO
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State | MS
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Zip | 38803-3780
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Country | US
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Telephone | 318-841-9550
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Fax | 188-419-5473
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 338432
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 04-50522
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 32892
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 042.0015199
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | U8874
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | CDR.0004827
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD2025-0242
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License Number State | NM
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Taxonomy #8
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | E-17702
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License Number State | AR
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Taxonomy #9
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 48089
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License Number State | AL
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Taxonomy #10
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 42985
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License Number State | OK
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Taxonomy #11
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 70547
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License Number State | TN
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Taxonomy #12
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 13079-320
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License Number State | WI
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Taxonomy #13
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 87422
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License Number State | SC
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