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General NPI Number Information
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NPI Number | 1326212440
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Entity Type | Organization
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Legal Business Name | JOSEPH M LACAVA
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 3339 CENTRAL AVE STE F
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6279
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Country | US
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Telephone | 501-321-4844
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Fax | 501-321-0956
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Provider Business Mailing Address
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Address Line | 3339 CENTRAL AVE STE F
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6279
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Country | US
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Telephone | 501-321-4844
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Fax | 501-321-0956
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH LACAVA
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Credential | DPM
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Telephone | 501-321-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 217
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License Number State | AR
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