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General NPI Number Information
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NPI Number | 1164428058
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Entity Type | Individual
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Provider Name | MEDICK MICHAEL CAPIRANO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 05/22/2012
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Provider Practice Location Address
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Address Line | 541 MCNEILLY RD
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City | PITTSBURGH
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State | PA
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Zip | 15226-2503
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Country | US
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Telephone | 412-341-3313
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Fax | 412-551-7018
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Provider Business Mailing Address
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Address Line | 17 HENNIG DR
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City | PITTSBURGH
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State | PA
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Zip | 15236-1582
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Country | US
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Telephone | 412-885-4836
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Fax | 412-551-7018
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DS018683L
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License Number State | PA
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