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General NPI Number Information
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NPI Number | 1619916079
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Entity Type | Organization
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Legal Business Name | LESLIE R CAPIN MD PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 13701 E MISSISSIPPI AVE SUITE 320
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City | AURORA
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State | CO
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Zip | 80012-6141
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Country | US
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Telephone | 303-340-3378
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Fax | 303-340-3409
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Provider Business Mailing Address
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Address Line | 3464 S WILLOW ST SUITE 060
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City | DENVER
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State | CO
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Zip | 80231-4531
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Country | US
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Telephone | 303-755-2900
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Fax | 303-755-0404
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE R CAPIN
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Credential | MD
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Telephone | 303-340-3378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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