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General NPI Number Information
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NPI Number | 1326317603
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Entity Type | Organization
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Legal Business Name | CAPAC FAMILY MEDICINE
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 14960 E PARK ST
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City | CAPAC
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State | MI
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Zip | 48014-3177
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Country | US
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Telephone | 810-310-1783
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Fax |
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Provider Business Mailing Address
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Address Line | 14960 E PARK ST
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City | CAPAC
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State | MI
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Zip | 48014-3177
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Country | US
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Telephone | 810-310-1783
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ROBERT C. GLAPINSKI
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Credential | D.O.
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Telephone | 810-310-1783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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