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General NPI Number Information
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NPI Number | 1396004594
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Entity Type | Individual
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Provider Name | HIRSH KAVEESHVAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 23861 MCBEAN PKWY STE B18
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City | VALENCIA
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State | CA
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Zip | 91355-4456
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Country | US
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Telephone | 661-288-7978
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Fax | 661-288-7903
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Provider Business Mailing Address
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Address Line | 10787 WILSHIRE BLVD APT 703
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City | LOS ANGELES
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State | CA
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Zip | 90024-7340
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Country | US
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Telephone | 248-933-0323
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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 | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 5101019962
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 5101019962
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084S0010X
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Taxonomy Name | Sports Medicine (Psychiatry & Neurology) Physician
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License Number | 20A15212
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License Number State | CA
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