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General NPI Number Information
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NPI Number | 1306521083
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Entity Type | Individual
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Provider Name | ALESSANDRA M CAVA
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 243 W MAIN ST
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1767
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Country | US
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Telephone | 304-843-8852
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Fax |
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Provider Business Mailing Address
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Address Line | 700 SADDLEBACK CIR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9652
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Country | US
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Telephone | 304-641-9693
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW052316633
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License Number State | WV
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