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General NPI Number Information
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NPI Number | 1770904534
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Entity Type | Individual
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Provider Name | JEFFREY JOHN COVELLI BS PHARM
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Gender | Male
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 12/21/2013
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Provider Practice Location Address
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Address Line | 3337 LONG BRANCH DR
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City | NEW CASTLE
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State | PA
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Zip | 16105-2901
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Country | US
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Telephone | 724-730-3453
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Fax | 724-658-6909
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Provider Business Mailing Address
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Address Line | 3337 LONG BRANCH DR
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City | NEW CASTLE
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State | PA
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Zip | 16105-2901
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Country | US
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Telephone | 724-730-3453
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Fax | 724-658-6909
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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 | RP041769L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03126009
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License Number State | OH
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