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General NPI Number Information
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NPI Number | 1386819266
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Entity Type | Organization
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Legal Business Name | JOSEPH W. CAVUOTO
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 12/06/2008
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Provider Practice Location Address
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Address Line | 1147 FRONT ST
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City | UNIONDALE
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State | NY
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Zip | 11553-2035
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Country | US
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Telephone | 516-483-8895
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Fax | 516-483-4660
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Provider Business Mailing Address
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Address Line | 1147 FRONT ST
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City | UNIONDALE
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State | NY
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Zip | 11553-2035
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Country | US
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Telephone | 516-483-8895
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Fax | 516-483-4660
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Authorized Official
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Title or Position | DOCTOR OF PODIATRIC MEDICINE
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Name | JOSEPH W CAVUOTO
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Credential | DPM
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Telephone | 516-483-8895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N002567-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | N0025671
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License Number State | NY
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