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General NPI Number Information
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NPI Number | 1801534912
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Entity Type | Individual
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Provider Name | JAMILA COVINGTON
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Gender | Female
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 1301 NATIONAL HWY
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City | THOMASVILLE
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State | NC
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Zip | 27360-2317
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Country | US
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Telephone | 336-472-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MEADOWOOD GLEN WAY APT D
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City | GREENSBORO
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State | NC
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Zip | 27409-2373
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Country | US
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Telephone | 609-815-1431
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 28198
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License Number State | NC
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