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General NPI Number Information
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NPI Number | 1548031206
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Entity Type | Organization
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Legal Business Name | DR JAMES M. KOVER O.D. EYE CARE. PA, CO.
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 1301 BOARDMAN POLAND RD STE J
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City | POLAND
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State | OH
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Zip | 44514-1960
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Country | US
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Telephone | 234-217-2167
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Fax | 330-758-5693
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Provider Business Mailing Address
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Address Line | 2206 OAKWOOD ST
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City | GIRARD
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State | OH
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Zip | 44420-1161
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Country | US
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Telephone | 330-307-1022
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES MICHAEL KOVER
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Credential | O.D.
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Telephone | 330-307-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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