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NPI 1548312507

NPI 1548312507 : CAPSTONE ORTHOPEDIC, INC. : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1548312507
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPSTONE ORTHOPEDIC, INC. 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    10/23/2025
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Provider Practice Location Address
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    Address Line         |    4479 STONERIDGE DR STE A 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-8447
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    Country              |    US
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    Telephone            |    925-484-6400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 650846 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75265-0846
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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    |    REGULATORY COMPLIANCE ANALYST III
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    Name                 |     JENNIFER L SIMMONS 
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    Credential           |    
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    Telephone            |    859-594-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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