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General NPI Number Information
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NPI Number | 1528062213
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Entity Type | Individual
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Provider Name | JOSEPH MICHEAL CAPORUSSO DPM PA
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 812 LINDBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2930
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Country | US
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Telephone | 956-971-9107
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Fax | 956-971-9109
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Provider Business Mailing Address
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Address Line | 812 LINDBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2930
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Country | US
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Telephone | 956-971-9107
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Fax | 956-971-9109
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1091
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1091
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License Number State | TX
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