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General NPI Number Information
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NPI Number | 1245230929
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Entity Type | Individual
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Provider Name | RICHARD S CAPACIO DC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 1837 S 2ND STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19148
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Country | US
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Telephone | 215-468-6800
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Fax | 215-468-6801
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Provider Business Mailing Address
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Address Line | 410 TIMBER CIRCLE
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City | WAYNE
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State | PA
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Zip | 19087-2358
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Country | US
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Telephone | 215-468-6800
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Fax | 215-468-6801
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC002723L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | DC002723L
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License Number State | PA
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