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General NPI Number Information
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NPI Number | 1588800155
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Entity Type | Individual
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Provider Name | KEVIN CHARLES CAPP DO
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Gender | Male
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Dates
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Enumeration Date | 12/31/2008
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 95 S PARK ST
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City | MOUNT UNION
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State | PA
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Zip | 17066-1334
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Country | US
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Telephone | 814-542-8627
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Fax | 814-542-5444
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Provider Business Mailing Address
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Address Line | 926 WEST 38TH STREET DR. KEVIN CAPP
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-866-1960
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Fax | 814-866-1935
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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 | OT012782
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OSO15055
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License Number State | PA
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