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General NPI Number Information
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NPI Number | 1356350706
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Entity Type | Individual
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Provider Name | ROBERT DOUGLAS KAVIEFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 1618 W BAKER RD SUITE A
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City | BAYTOWN
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State | TX
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Zip | 77521-2280
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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 | 1618 W BAKER RD SUITE A
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City | BAYTOWN
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State | TX
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Zip | 77521-2280
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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 |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G9978
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License Number State | TX
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