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General NPI Number Information
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NPI Number | 1184240350
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL S. CAPARAS DMD PC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 20011 BALLINGER WAY NE STE B-100
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City | SHORELINE
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State | WA
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Zip | 98155-1286
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Country | US
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Telephone | 206-946-6471
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Fax |
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Provider Business Mailing Address
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Address Line | 20011 BALLINGER WAY NE STE B-100
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City | SHORELINE
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State | WA
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Zip | 98155-1286
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MICHAEL S CAPARAS
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Credential |
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Telephone | 206-946-6471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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