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General NPI Number Information
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NPI Number | 1740916725
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Entity Type | Individual
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Provider Name | EMIL KOVETSKI DMD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 3330 CAPITAL OAKS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4513
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Country | US
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Telephone | 850-386-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 2730 WELAUNEE BLVD UNIT 407
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City | TALLAHASSEE
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State | FL
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Zip | 32308-6052
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Country | US
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Telephone | 954-398-3508
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10829
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10829
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 27187
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License Number State | FL
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