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1982605325 NPI number — RENO R COVA MD

NPI Number: 1982605325
Health Care Provider/Practitioner: RENO R COVA MD

Information about “1982605325” NPI (RENO R COVA MD) exists in 1982605325 in HTML format HTML  |  1982605325 in plain Text format TXT  |  1982605325 in PDF (Portable Document Format) PDF  |  1982605325 in an XML format XML  formats.

NPI Number : 1982605325 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982605325",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "COVA",
    "FirstName": "RENO",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 817",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAPE GIRARDEAU",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "63702-0817",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-335-4715",
    "MailingAddressFaxNumber": "573-334-2303",
    "FirstLinePracticeLocationAddress": "3065 WILLIAM ST",
    "SecondLinePracticeLocationAddress": "SUITE 209",
    "PracticeLocationAddressCityName": "CAPE GIRARDEAU",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63703-6393",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-335-4100",
    "PracticeLocationAddressFaxNumber": "573-339-7887",
    "EnumerationDate": "08/09/2005",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "R3623",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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