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General NPI Number Information
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NPI Number | 1497162192
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Entity Type | Individual
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Provider Name | JEFFERY KOVACICH N.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 10399 LEMON AVE SUITE 103
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3770
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Country | US
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Telephone | 909-989-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 10399 LEMON AVE SUITE 103
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3770
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Country | US
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Telephone | 909-989-1911
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Fax |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND660
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License Number State | CA
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