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General NPI Number Information
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NPI Number | 1730203241
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Entity Type | Individual
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Provider Name | JEFFREY DAN CAVIN PT, DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 175 S UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3113
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Country | US
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Telephone | 719-365-5618
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Fax |
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Provider Business Mailing Address
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Address Line | 175 S UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3113
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Country | US
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Telephone | 719-365-5618
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9507
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2628
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10662
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License Number State | CO
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