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General NPI Number Information
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NPI Number | 1316367345
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Entity Type | Individual
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Provider Name | CHRISTINA CAVANNA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1200 MOKYCHIC RD
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City | COLLEGEVILLE
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State | PA
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Zip | 19426
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Country | US
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Telephone | 610-409-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 425 HURST ST
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City | BRIDGEPORT
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State | PA
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Zip | 19405-1537
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Country | US
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Telephone | 702-677-2551
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP032589
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License Number State | PA
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