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General NPI Number Information
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NPI Number | 1215099940
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Entity Type | Individual
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Provider Name | GLORIA R CAPPETTO DIPL. AC., L AC.
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Gender | Female
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 44 E SPAULDING AVE SUITE 8
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City | PUEBLO WEST
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State | CO
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Zip | 81007-1668
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Country | US
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Telephone | 719-778-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 1371 N WILL ROGERS DR
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City | PUEBLO
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State | CO
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Zip | 81007-2339
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Country | US
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Telephone | 719-778-6040
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.000686
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 1250
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU0001250
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License Number State | CO
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