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General NPI Number Information
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NPI Number | 1497162606
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Entity Type | Individual
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Provider Name | JESSICA ELAINE-ELIZABETH GOVORA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2014
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 300 RESORT PLAZA DR
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-7934
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Country | US
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Telephone | 724-459-6419
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Fax | 724-459-6447
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | CRABTREE
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State | PA
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Zip | 15624-0303
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Country | US
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Telephone | 724-552-8605
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP448883
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License Number State | PA
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