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General NPI Number Information
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NPI Number | 1619795259
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Entity Type | Individual
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Provider Name | NOEL CHRISTIAN CAPUNO
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Gender | Male
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 342 FIFTH AVE
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City | PELHAM
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State | NY
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Zip | 10803-1204
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Country | US
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Telephone | 914-738-1748
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Fax | 914-738-1749
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Provider Business Mailing Address
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Address Line | 9421 53RD AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4611
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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 |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 052555-01
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License Number State | NY
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