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General NPI Number Information
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NPI Number | 1821274895
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Entity Type | Organization
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Legal Business Name | HENRY SCOVERN, MD
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 1030 REED AVE SUITE 108
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City | WYOMISSING
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State | PA
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Zip | 19610-2039
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Country | US
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Telephone | 610-478-1737
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Fax | 610-478-1407
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Provider Business Mailing Address
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Address Line | 1030 REED AVE SUITE 108
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City | WYOMISSING
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State | PA
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Zip | 19610-2039
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Country | US
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Telephone | 610-478-1737
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Fax | 610-478-1407
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY SCOVERN
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Credential | MD
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Telephone | 610-478-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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