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General NPI Number Information
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NPI Number | 1386713162
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Entity Type | Organization
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Legal Business Name | NICHOLAS J. CAPUANA, M.D., P.C.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 2 OXFORD XING SUITE # 1
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3236
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Country | US
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Telephone | 315-733-0451
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Fax | 315-733-4435
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Provider Business Mailing Address
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Address Line | 2 OXFORD XING SUITE # 1
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3236
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Country | US
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Telephone | 315-733-0451
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Fax | 315-733-4435
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS J CAPUANA
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Credential | M.D.
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Telephone | 315-733-0451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 112705
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License Number State | NY
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