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General NPI Number Information
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NPI Number | 1962232835
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Entity Type | Organization
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Legal Business Name | CAVAYERO ORTHODONTICS, PC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 7935 CRAIN HWY S
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4934
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Country | US
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Telephone | 410-761-6960
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Fax |
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Provider Business Mailing Address
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Address Line | 7935 CRAIN HWY S
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City | GLEN BURNIE
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State | MD
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Zip | 21061-4934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORDAN CAVAYERO
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Credential | DMD, MS
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Telephone | 410-761-6960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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