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General NPI Number Information
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NPI Number | 1598743908
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Entity Type | Individual
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Provider Name | DAVID ALAN KAVJIAN MD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 100 GRAND ST # W1
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City | NEW BRITAIN
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State | CT
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Zip | 06052-2016
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Country | US
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Telephone | 860-224-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0101040813
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 53876
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25IA12934300
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License Number State | NJ
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