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General NPI Number Information
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NPI Number | 1134324221
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Entity Type | Individual
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Provider Name | EUGENE MARIUS CAUVIN NP
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1775 BROADWAY STE 300
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City | NEW YORK
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State | NY
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Zip | 10019-1903
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Country | US
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Telephone | 917-304-4589
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Fax |
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Provider Business Mailing Address
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Address Line | 114 E 98TH ST APT 4R
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City | NEW YORK
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State | NY
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Zip | 10029-6766
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Country | US
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Telephone | 212-831-0871
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 334558
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License Number State | NY
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