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General NPI Number Information
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NPI Number | 1235139379
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Entity Type | Individual
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Provider Name | MARK A CAPEHART MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 11/14/2012
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Provider Practice Location Address
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Address Line | 6475 S YALE AVE STE 301
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City | TULSA
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State | OK
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Zip | 74136-7816
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Country | US
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Telephone | 918-494-9300
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Fax | 918-494-9324
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Provider Business Mailing Address
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Address Line | 6475 S YALE AVE STE 301
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City | TULSA
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State | OK
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Zip | 74136-7816
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Country | US
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Telephone | 918-494-9300
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Fax | 918-494-9324
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 9763
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License Number State | OK
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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 | 9763
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 9763
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License Number State | OK
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