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General NPI Number Information
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NPI Number | 1669739173
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Entity Type | Individual
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Provider Name | MICHAEL ZACHARY CAPOSOLE D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 7950 SW 30TH ST STE 201
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City | DAVIE
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State | FL
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Zip | 33328-1979
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Country | US
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Telephone | 754-247-2684
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Fax | 833-975-0933
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Provider Business Mailing Address
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Address Line | 7950 SW 30TH ST STE 201
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City | DAVIE
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State | FL
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Zip | 33328-1979
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Country | US
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Telephone | 754-247-2684
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Fax | 833-975-0933
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS15785
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License Number State | FL
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