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NPI 1699822031

NPI 1699822031 : RICHARD PLAUT KAVEY M.D. : CAZENOVIA, NY

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General NPI Number Information
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    NPI Number           |    1699822031
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD PLAUT KAVEY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/05/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4216 SYRACUSE RD 
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    City                 |    CAZENOVIA
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    State                |    NY
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    Zip                  |    13035-9665
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    Country              |    US
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    Telephone            |    315-655-5850
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    Fax                  |    315-655-5850
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Provider Business Mailing Address
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    Address Line         |    4216 SYRACUSE RD 
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    City                 |    CAZENOVIA
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    State                |    NY
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    Zip                  |    13035-9665
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    Country              |    US
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    Telephone            |    315-655-5850
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    Fax                  |    315-655-5850
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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        |    173000000X
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    Taxonomy Name        |    Legal Medicine
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    License Number       |    127779
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    License Number State |    NY
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