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General NPI Number Information
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NPI Number | 1164778650
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Entity Type | Individual
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Provider Name | DENNIS KAVRAN PSY.S
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Gender | Male
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 5000 ROCKSIDE RD SUITE 310
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City | INDEPENDENCE
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State | OH
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Zip | 44131-6823
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Country | US
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Telephone | 216-901-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 18045 BIRCH HILL DR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5825
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Country | US
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Telephone | 440-543-7819
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SP577
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License Number State | OH
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