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General NPI Number Information
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NPI Number | 1811952344
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Entity Type | Individual
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Provider Name | NICOLE MARIE CAVINESS PT
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Gender | Female
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3826 HWY 49 SOUTH
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City | HARRISBURG
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State | NC
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Zip | 28075-7439
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Country | US
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Telephone | 704-787-1807
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Fax | 704-626-3066
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Provider Business Mailing Address
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Address Line | 11417 THREE SISTERS LN
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City | MINT HILL
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State | NC
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Zip | 28227-3639
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Country | US
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Telephone | 704-787-1807
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Fax | 866-570-1759
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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 | P8413
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License Number State | NC
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