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NPI 1518545110

NPI 1518545110 : JOSHUA CAPANZANO DO : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1518545110
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA CAPANZANO DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2021
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    2400 WIBLE RD STE 14 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93304-4734
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    Country              |    US
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    Telephone            |    661-835-1240
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    Fax                  |    661-835-4667
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Provider Business Mailing Address
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    Address Line         |    2400 WIBLE RD STE 14 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93304-4734
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    Country              |    US
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    Telephone            |    661-835-1240
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    Fax                  |    661-835-4667
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    23092
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    License Number State |    CA
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