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General NPI Number Information
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NPI Number | 1093705816
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Entity Type | Individual
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Provider Name | CARA L CHEVALIER MD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 286 KINGSTOWN WAY
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City | DUXBURY
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State | MA
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Zip | 02332-4605
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Country | US
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Telephone | 888-553-2823
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 2829
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 326807-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 224119
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License Number State | MA
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