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General NPI Number Information
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NPI Number | 1144599242
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Entity Type | Organization
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Legal Business Name | CAUVIN FRETT PSYCHIATRY LLC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 8177 GLADES RD STE 204
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City | BOCA RATON
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State | FL
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Zip | 33434-4022
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Country | US
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Telephone | 561-483-9599
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Fax |
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Provider Business Mailing Address
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Address Line | 10254 BROOKVILLE LN
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City | BOCA RATON
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State | FL
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Zip | 33428-5869
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Country | US
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Telephone | 561-483-9599
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CAUVIN FRETT
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Credential | M.D.
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Telephone | 561-483-9599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0058595
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License Number State | FL
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