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General NPI Number Information
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NPI Number | 1194998997
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Entity Type | Individual
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Provider Name | ERIC EDWARD CAPRILES M.D
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Gender | Male
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Dates
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Enumeration Date | 04/12/2008
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 519 MEDICAL OAKS AVE
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City | BRANDON
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State | FL
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Zip | 33511-5961
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Country | US
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Telephone | 813-685-7995
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Fax | 813-643-8777
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Provider Business Mailing Address
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Address Line | 519 MEDICAL OAKS AVE
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City | BRANDON
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State | FL
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Zip | 33511-5961
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Country | US
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Telephone | 813-685-7995
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Fax | 813-643-8777
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 43714
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME166363
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License Number State | FL
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