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General NPI Number Information
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NPI Number | 1356847891
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Entity Type | Individual
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Provider Name | ELIZABETH MARIAN CAPPELLO MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE RM H185-D
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City | ATLANTA
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State | GA
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Zip | 30322-0021
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Country | US
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Telephone | 404-712-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101271828
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 69541
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 104424
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License Number State | GA
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