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General NPI Number Information
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NPI Number | 1013184233
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Entity Type | Individual
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Provider Name | ANTHONY DAVID CAPPS D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 47 W POLK ST STE 301
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City | CHICAGO
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State | IL
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Zip | 60605-2171
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Country | US
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Telephone | 312-427-0774
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Fax | 312-427-0775
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Provider Business Mailing Address
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Address Line | 47 W POLK ST STE 301
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City | CHICAGO
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State | IL
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Zip | 60605-2171
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Country | US
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Telephone | 312-427-0774
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Fax | 312-427-0775
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036-115000
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License Number State | IL
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