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General NPI Number Information
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NPI Number | 1144420688
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Entity Type | Organization
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Legal Business Name | REGINA CAPELLI-SCHEIDT M.D,S.C
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 3601 30TH AVE
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City | KENOSHA
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State | WI
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Zip | 53144-1695
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Country | US
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Telephone | 262-658-8862
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Fax | 262-658-8874
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Provider Business Mailing Address
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Address Line | 3601 30TH AVE
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City | KENOSHA
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State | WI
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Zip | 53144-1695
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Country | US
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Telephone | 262-658-8862
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Fax | 262-658-8874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REGINA ANN CAPELLI-SCHEIDT
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Credential | M.D.
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Telephone | 262-658-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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