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General NPI Number Information
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NPI Number | 1225394067
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Entity Type | Organization
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Legal Business Name | ANTHONY R. CAPUTO, MD PA
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 556 EAGLE ROCK AVE SUITE 203
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City | ROSELAND
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State | NJ
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Zip | 07068-1503
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Country | US
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Telephone | 973-228-3111
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Fax | 973-226-4010
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Provider Business Mailing Address
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Address Line | 556 EAGLE ROCK AVE SUITE 203
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City | ROSELAND
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State | NJ
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Zip | 07068-1503
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Country | US
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Telephone | 973-228-3111
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Fax | 973-226-4010
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. ANTHONY R CAPUTO,MD
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Credential | MD
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Telephone | 973-228-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA25094
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License Number State | NJ
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