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General NPI Number Information
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NPI Number | 1225063571
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Entity Type | Individual
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Provider Name | PETER N CAPICOTTO MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1000 RUNABOUT LN APT 307
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City | WEBSTER
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State | NY
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Zip | 14580-2289
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Country | US
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Telephone | 585-733-4430
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 RUNABOUT LN APT 307
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City | WEBSTER
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State | NY
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Zip | 14580-2289
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Country | US
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Telephone | 585-733-4430
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 188559
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License Number State | NY
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