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General NPI Number Information
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NPI Number | 1528274156
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Entity Type | Individual
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Provider Name | BARBARA A CAPUTO D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2759 DELK RD SE STE 1300
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City | MARIETTA
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State | GA
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Zip | 30067-8874
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Country | US
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Telephone | 404-493-0108
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Fax |
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Provider Business Mailing Address
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Address Line | 1193 ASHBOROUGH DR., SUITE F
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City | MARIETTA
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State | GA
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Zip | 30067
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Country | US
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Telephone | 404-493-0108
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 005659
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License Number State | GA
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