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General NPI Number Information
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NPI Number | 1629108683
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Entity Type | Individual
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Provider Name | JANET E CAVANAGH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14 HARWOOD CT STE 426
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City | SCARSDALE
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State | NY
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Zip | 10583-4120
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Country | US
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Telephone | 914-722-8373
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Fax |
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Provider Business Mailing Address
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Address Line | 129 NYAC AVE
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City | PELHAM
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State | NY
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Zip | 10803-1905
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Country | US
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Telephone | 914-722-8373
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 017710
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License Number State | NY
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