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General NPI Number Information
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NPI Number | 1174085310
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Entity Type | Organization
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Legal Business Name | CAVALIER BIOTECH LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | METRO OFFICE PARK 7 METRO PARQUE
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City | SAN JUAN
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State | PR
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Zip | 00968
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Country | US
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Telephone | 844-725-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 EXECUTIVE BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3634
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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 | PRESIDENT
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Name | KURT REIGHARD
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Credential |
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Telephone | 844-725-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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