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General NPI Number Information
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NPI Number | 1477538460
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Entity Type | Individual
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Provider Name | ROBERT NICHOLAS CAPOBIANCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1330 BUDINGER AVE STE 206
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4137
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Country | US
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Telephone | 407-498-3763
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Fax | 407-498-3793
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Provider Business Mailing Address
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Address Line | 1330 BUDINGER AVE STE 108
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4137
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Country | US
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Telephone | 407-498-3763
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Fax | 407-498-3793
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 78444
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License Number State | FL
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