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General NPI Number Information
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NPI Number | 1275722811
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Entity Type | Organization
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Legal Business Name | RAYMOND V. CAPUTO, M.D.,P.C.
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 960 JOHNSON FERRY RD NE SUITE 226
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City | ATLANTA
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State | GA
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Zip | 30342-1631
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Country | US
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Telephone | 404-255-0787
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Fax | 404-847-9822
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Provider Business Mailing Address
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Address Line | 960 JOHNSON FERRY RD NE SUITE 226
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City | ATLANTA
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State | GA
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Zip | 30342-1631
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Country | US
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Telephone | 404-255-0787
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Fax | 404-847-9822
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAYMOND VINCENT CAPUTO
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Credential | M.D.
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Telephone | 404-255-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 039543
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License Number State | GA
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