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General NPI Number Information
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NPI Number | 1063832095
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Entity Type | Organization
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Legal Business Name | CAVE & POTENTE
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 4065 3RD AVE STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-2184
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Country | US
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Telephone | 619-298-2291
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Fax |
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Provider Business Mailing Address
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Address Line | 4065 3RD AVE STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92103-2184
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Country | US
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Telephone | 619-298-2291
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOSEPH RICHARD CAVE
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Credential | DDS
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Telephone | 619-298-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 29139
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License Number State | CA
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