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NPI 1356394274

NPI 1356394274 : CAPITOL ORTHOPEDIC CONSULTANTS, P.C. : TROY, NY

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General NPI Number Information
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    NPI Number           |    1356394274
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPITOL ORTHOPEDIC CONSULTANTS, P.C. 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1 CONWAY CT 
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    City                 |    TROY
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    State                |    NY
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    Zip                  |    12180-2108
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    Country              |    US
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    Telephone            |    518-271-6300
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    Fax                  |    518-271-6304
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Provider Business Mailing Address
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    Address Line         |    PO BOX 240 
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    City                 |    CLIFTON PARK
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    State                |    NY
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    Zip                  |    12065-0240
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    Country              |    US
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    Telephone            |    518-271-6300
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    Fax                  |    518-271-6304
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Authorized Official
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    Title or Position    |    M.D. PARTNER
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    Name                 |    DR. DONALD B SYMANOWICZ 
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    Credential           |    M.D.
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    Telephone            |    518-271-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    129882
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    License Number State |    NY
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