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General NPI Number Information
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NPI Number | 1588005086
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Entity Type | Organization
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Legal Business Name | CITY OF COVINGTON
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 435 W. HAWTHORNE STREET
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City | COVINGTON
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State | VA
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Zip | 24426
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Country | US
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Telephone | 540-965-6392
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W. LOCUST STREET
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City | COVINGTON
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State | VA
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Zip | 24426
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Country | US
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Telephone | 540-965-6333
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Fax | 540-965-6334
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Authorized Official
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Title or Position | CITY MANAGER
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Name | MR. RICHARD DOUGLAS
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Credential |
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Telephone | 540-965-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 408
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License Number State | VA
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