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General NPI Number Information
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NPI Number | 1811083207
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Entity Type | Individual
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Provider Name | KARLA JEAN ALLEN JOVIAK M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | JACKSON & COKER MEDICAL GROUP, LLC 2655 NORTHWINDS PARKWAY
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City | ALPHARETTA
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State | GA
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Zip | 30009
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Country | US
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Telephone | 800-272-2707
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Fax | 800-936-4562
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Provider Business Mailing Address
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Address Line | PO BOX 770584
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City | OCALA
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State | FL
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Zip | 34477-0584
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Country | US
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Telephone | 352-239-2669
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME38599
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License Number State | FL
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