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General NPI Number Information
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NPI Number | 1598018939
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Entity Type | Individual
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Provider Name | CATHERINE CHARLAGNE CAPPS MD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2835 FORT MISSOULA RD STE 203
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City | MISSOULA
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State | MT
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Zip | 59804-7423
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Country | US
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Telephone | 406-327-4032
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Fax | 406-327-4493
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Provider Business Mailing Address
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Address Line | 2835 FORT MISSOULA RD STE 203
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City | MISSOULA
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State | MT
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Zip | 59804-7423
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Country | US
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Telephone | 406-327-4032
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Fax | 406-327-4493
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 7137
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License Number State | MT
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