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Individual
MR. ROBERT PAVIOUR
Active
Individual
MR. ROBERT PAVIOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001775
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031514
VALUE OPTIONS
—
01
—
174639
ANTHEM
VA
01
—
4345840
AETNA
—
01
—
82076
SENTARA SOUTHERN HEALTH
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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