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General NPI Number Information
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NPI Number | 1669747994
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Entity Type | Organization
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Legal Business Name | AMEETA KAPU MD PA
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1850 HICKORY ST
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City | ABILENE
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State | TX
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Zip | 79601-2325
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Country | US
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Telephone | 325-670-3970
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Fax | 325-670-3797
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Provider Business Mailing Address
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Address Line | 1850 HICKORY ST
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City | ABILENE
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State | TX
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Zip | 79601-2325
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Country | US
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Telephone | 325-670-3970
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Fax | 325-670-3797
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMEETA KAPU
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Credential | M.D.
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Telephone | 325-670-3970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | K0500
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License Number State | TX
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