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General NPI Number Information
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NPI Number | 1629183900
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Entity Type | Organization
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Legal Business Name | JOHN R CAPURRO MD, INC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 201 OLD BANK RD
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City | MILFORD
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State | OH
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Zip | 45150-2416
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Country | US
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Telephone | 513-474-7007
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Fax | 513-474-7239
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Provider Business Mailing Address
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Address Line | PO BOX 706110
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City | CINCINNATI
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State | OH
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Zip | 45270-0001
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Country | US
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Telephone | 513-474-7007
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Fax | 513-474-7239
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN R CAPURRO
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Credential | MD
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Telephone | 513-474-7007
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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 |
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License Number State |
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