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General NPI Number Information
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NPI Number | 1952666331
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Entity Type | Individual
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Provider Name | JAVEN VALERIE CAVAZOS MD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 17806 W INTERSTATE 10 STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78257-8222
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Country | US
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Telephone | 830-476-0929
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Fax | 830-239-9760
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Provider Business Mailing Address
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Address Line | 17806 W INTERSTATE 10 STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78257-8222
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Country | US
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Telephone | 830-476-0929
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Fax | 830-239-9760
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 265376
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P5047
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License Number State | TX
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