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General NPI Number Information
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NPI Number | 1326373408
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Entity Type | Individual
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Provider Name | BRITTANY N. CAPSTICK O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 489 W SOUTH JORDAN PARKWAY SUITE 302
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City | SOUTH JORDAN
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State | UT
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Zip | 84095
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Country | US
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Telephone | 385-222-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 7456 S PARKRIDGE CIR
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-4834
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Country | US
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Telephone | 612-308-0679
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14269
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 14269
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8273555-8908
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License Number State | UT
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