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General NPI Number Information
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NPI Number | 1194912931
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Entity Type | Organization
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Legal Business Name | ROBERT D KAVIEFF
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 1600 JAMES BOWIE DR STE D105
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City | BAYTOWN
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State | TX
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Zip | 77520-3300
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Country | US
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Telephone | 281-427-1450
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Fax | 281-427-9440
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Provider Business Mailing Address
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Address Line | 1600 JAMES BOWIE DR STE D105
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City | BAYTOWN
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State | TX
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Zip | 77520-3300
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Country | US
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Telephone | 281-427-1450
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Fax | 281-427-9440
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT DOUGLAS KAVIEFF
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Credential | M.D.
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Telephone | 281-427-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G9978
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License Number State | TX
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