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General NPI Number Information
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NPI Number | 1538180567
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Entity Type | Individual
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Provider Name | EVON ST. CLAVER CADOGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-5000
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Fax | 626-397-2912
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Provider Business Mailing Address
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Address Line | 790 E COLORADO BLVD 900
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City | PASADENA
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State | CA
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Zip | 91101-2113
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Country | US
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Telephone | 626-240-0662
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Fax | 626-240-0663
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G58167
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License Number State | CA
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