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General NPI Number Information
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NPI Number | 1093902272
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Entity Type | Individual
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Provider Name | ANTHONY R CAVUOTI MA
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 3528 EMERALD ST IN HOME COUNSELING
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City | TORRANCE
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State | CA
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Zip | 90503
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Country | US
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Telephone | 310-214-0525
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Fax | 310-214-0525
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Provider Business Mailing Address
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Address Line | P.O. BOX 7302 ANTHONY CAVUOTI IN HOME COUNSELING
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City | TORRANCE
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State | CA
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Zip | 90504-8702
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Country | US
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Telephone | 310-214-0525
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Fax | 310-214-0525
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC33082
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License Number State | CA
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