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General NPI Number Information
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NPI Number | 1851282081
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Entity Type | Organization
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Legal Business Name | COVERED TECHNOLOGIES LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 3 E 3RD AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4279
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Country | US
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Telephone | 727-210-5092
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Fax | 844-205-9196
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Provider Business Mailing Address
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Address Line | 3 E 3RD AVE
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City | SAN MATEO
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State | CA
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Zip | 94401-4279
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Country | US
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Telephone | 727-210-5092
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Fax | 844-205-9196
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOHN RODDEY ACKERMAN
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Credential |
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Telephone | 843-908-9895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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