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General NPI Number Information
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NPI Number | 1629068721
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Entity Type | Organization
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Legal Business Name | COVINGTON INTERNAL PHYSICIANS PC
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 56 E MAIN ST
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City | MUNFORD
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State | TN
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Zip | 38058-6054
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Country | US
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Telephone | 901-837-3735
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Fax | 901-837-8532
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Provider Business Mailing Address
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Address Line | 56 E MAIN ST
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City | MUNFORD
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State | TN
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Zip | 38058-6054
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Country | US
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Telephone | 901-837-3735
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Fax | 901-837-8532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE W CHAMBERS
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Credential | M.D.
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Telephone | 901-837-3735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 018580
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License Number State | TN
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