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General NPI Number Information
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NPI Number | 1114349925
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Entity Type | Individual
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Provider Name | EMILY CAPELLA DPT
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Gender | Female
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 15099 MISSION HILLS RD
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City | MISSION HILLS
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State | CA
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Zip | 91345-1102
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Country | US
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Telephone | 845-453-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 5TH ST NW
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City | ATLANTA
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State | GA
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Zip | 30318-4508
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Country | US
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Telephone | 845-453-6920
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 037236
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 292208
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT015213
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License Number State | GA
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