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Individual
IRA POVEY
Active
Individual
IRA POVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8424
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
94-3096772
TAX ID
—
Enumeration date
06/18/2006
Last updated
02/24/2020
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