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General NPI Number Information
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NPI Number | 1366635492
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Entity Type | Organization
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Legal Business Name | JOSEPH P CAVORSI PC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 2201 RIDGEWOOD RD SUITE 190
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City | WYOMISSING
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State | PA
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Zip | 19610
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Country | US
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Telephone | 610-374-8841
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Fax | 610-374-5745
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Provider Business Mailing Address
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Address Line | 2201 RIDGEWOOD RD SUITE 190
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City | WYOMISSING
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State | PA
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Zip | 19610
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Country | US
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Telephone | 610-374-8841
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Fax | 610-374-5745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH P CAVORSI
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Credential | MD
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Telephone | 610-374-8841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD039223L
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License Number State | PA
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