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General NPI Number Information
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NPI Number | 1477631869
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Entity Type | Individual
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Provider Name | GOPAL R KAPOOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 16111 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-252-8444
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Fax | 216-252-2724
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Provider Business Mailing Address
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Address Line | 16111 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5520
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Country | US
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Telephone | 216-252-8444
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Fax | 216-252-2724
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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 | 35043533
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35-043533
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35043533
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License Number State | OH
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