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NPI 1356128235

NPI 1356128235 : KAPRICE M TROPNAS : SNELLVILLE, GA

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General NPI Number Information
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    NPI Number           |    1356128235
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    Entity Type          |    Individual 
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    Provider Name        |    KAPRICE M TROPNAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/13/2023
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    Last Update Date     |    09/13/2023
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Provider Practice Location Address
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    Address Line         |    2135 MAIN ST E STE 270A 
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    City                 |    SNELLVILLE
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    State                |    GA
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    Zip                  |    30078-6434
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    Country              |    US
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    Telephone            |    678-530-7673
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1501 ROSE TERRACE CIR 
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    City                 |    LOGANVILLE
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    State                |    GA
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    Zip                  |    30052-9042
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    Country              |    US
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    Telephone            |    678-530-7673
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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        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    CO143708
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    License Number State |    GA
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