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General NPI Number Information
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NPI Number | 1013056779
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Entity Type | Organization
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Legal Business Name | CAPITOL GASTROENTEROLOGY CONSULTANTS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 4 MEDICAL PLAZA DR STE 205
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City | ROSEVILLE
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State | CA
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Zip | 95661-2815
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Country | US
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Telephone | 916-773-6200
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Fax | 916-782-4550
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Provider Business Mailing Address
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Address Line | 1860 SIERRA GARDENS DR UNIT 850
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City | ROSEVILLE
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State | CA
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Zip | 95661-1034
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Country | US
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Telephone | 916-773-6200
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Fax | 916-782-4550
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MAURICE S BAROWITZ
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Credential |
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Telephone | 916-965-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | CA
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