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General NPI Number Information
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NPI Number | 1225105281
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Entity Type | Individual
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Provider Name | FRANK CAPOBIANCO MD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 7046 W HIGGINS
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City | CHICAGO
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State | IL
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Zip | 60656
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Country | US
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Telephone | 773-763-0260
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Fax | 773-763-8499
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Provider Business Mailing Address
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Address Line | 7046 W HIGGINS
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City | CHICAGO
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State | IL
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Zip | 60656
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Country | US
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Telephone | 773-763-0260
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Fax | 773-763-8499
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036069932
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License Number State | IL
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