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General NPI Number Information
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NPI Number | 1477130185
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Entity Type | Individual
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Provider Name | ANTHONY NICHOLAS CAVALIER PSYD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2021
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 83 MAIDEN LN FL 10
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City | NEW YORK
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State | NY
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Zip | 10038-4702
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Country | US
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Telephone | 215-932-2935
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 89TH ST APT 26E
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City | NEW YORK
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State | NY
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Zip | 10128-4305
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Country | US
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Telephone | 215-932-2935
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026003-01
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License Number State | NY
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