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General NPI Number Information
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NPI Number | 1881037828
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Entity Type | Individual
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Provider Name | CLEAVON J COVINGTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 06/14/2019
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Provider Practice Location Address
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Address Line | 2785 GULF FWY S STE 2.200
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City | LEAGUE CITY
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State | TX
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Zip | 77573
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Country | US
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Telephone | 409-772-3695
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Fax |
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BLVD DEPT OF PEDIATRIC ALLERGY AND IMMUNOLOGY
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City | GALVESTON
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State | TX
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Zip | 77555-0550
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Country | US
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Telephone | 409-772-1755
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | S0274
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License Number State | TX
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