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General NPI Number Information
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NPI Number | 1750766028
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Entity Type | Individual
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Provider Name | RHEU CRISTINE BACAY CANDAVA MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 55 MADISON AVE FL 2
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7337
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Country | US
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Telephone | 973-971-5676
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Fax | 973-290-7365
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Provider Business Mailing Address
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Address Line | 465 SOUTH ST STE 103
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6442
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Country | US
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Telephone | 973-971-5676
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Fax | 973-290-7365
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 295911
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 25MA12436700
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License Number State | NJ
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