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General NPI Number Information
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NPI Number | 1295595767
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Entity Type | Individual
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Provider Name | CADEN CARVER
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Gender | Male
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 11851 N 51ST AVE STE E130
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City | GLENDALE
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State | AZ
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Zip | 85304-2843
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Country | US
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Telephone | 623-882-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 21655 N 36TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85308-2072
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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 |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 011993
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License Number State | AZ
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