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NPI 1407836299

NPI 1407836299 : PATRICK M CAPONE MD : WINCHESTER, VA

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General NPI Number Information
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    NPI Number           |    1407836299
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK M CAPONE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/19/2006
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    Last Update Date     |    10/10/2024
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Provider Practice Location Address
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    Address Line         |    125 MEDICAL CIR SUITE A
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    City                 |    WINCHESTER
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    State                |    VA
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    Zip                  |    22601-3300
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    Country              |    US
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    Telephone            |    540-667-1828
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    Fax                  |    540-722-3658
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Provider Business Mailing Address
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    Address Line         |    220 CAMPUS BLVD STE 320 
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    City                 |    WINCHESTER
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    State                |    VA
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    Zip                  |    22601-2889
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    Country              |    US
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    Telephone            |    540-536-5100
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    Fax                  |    540-536-0235
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    0101048901
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    2084D0003X
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    Taxonomy Name        |    Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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    License Number       |    N10020408
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    License Number State |    VA
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