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NPI Code Detail

MEDICARE: MR. DAVE JOSEPH CAVALIER III M.S., CCC-A

MEDICARE: MR. DAVE JOSEPH CAVALIER III M.S., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist3596LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902001050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVE JOSEPH CAVALIER III M.S., CCC-A
Provider Business Mailing Address
First Line : 425 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-364-9156
Fax Number : 337-560-1627
Provider Business Practice Location Address
First Line : 425 E SAINT PETER ST
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-3752
Country : US
Telephone Number : 337-364-9156
Fax Number : 337-560-1627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 12/03/2007

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