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General NPI Number Information
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NPI Number | 1982091682
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Entity Type | Organization
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Legal Business Name | DEBORAH Y COVA MEDICAL CORP
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 18081 BISCAYNE BLVD APT 702N4
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City | AVENTURA
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State | FL
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Zip | 33160-2526
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Country | US
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Telephone | 305-331-6994
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Fax |
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Provider Business Mailing Address
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Address Line | 18081 BISCAYNE BLVD APT 702N4
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City | AVENTURA
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State | FL
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Zip | 33160-2526
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Country | US
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Telephone | 305-331-6994
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBORAH Y COVA
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Credential | M.D.
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Telephone | 305-331-6994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME106711
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License Number State | FL
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