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General NPI Number Information
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NPI Number | 1932210572
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Entity Type | Organization
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Legal Business Name | JAMES CAVANAUGH MD INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 51 MAIN ST SUITE 2
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City | HYANNIS
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State | MA
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Zip | 02601-3109
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Country | US
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Telephone | 508-775-3112
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Fax | 508-771-2850
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Provider Business Mailing Address
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Address Line | PO BOX T
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City | HYANNIS
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State | MA
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Zip | 02601-1417
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Country | US
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Telephone | 508-775-3112
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Fax | 508-771-2850
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES J CAVANAUGH
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Credential | M.D.
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Telephone | 508-775-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 26272
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 26272
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 26272
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License Number State | MA
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