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General NPI Number Information
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NPI Number | 1518829472
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Entity Type | Individual
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Provider Name | NIALL DAVID CAPARON DPT
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Gender | Male
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 639 BLACKHAWK DR
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City | WESTMONT
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State | IL
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Zip | 60559-1115
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Country | US
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Telephone | 630-368-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 269 N HIGHVIEW AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2519
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Country | US
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Telephone |
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.029539
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License Number State | IL
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