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General NPI Number Information
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NPI Number | 1689968190
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Entity Type | Individual
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Provider Name | ROBERT ANTHONY CAPOZZA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 3249 US HIGHWAY 22 AND 3
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City | LOVELAND
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State | OH
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Zip | 45140-1004
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Country | US
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Telephone | 513-683-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 SW ARCHER RD APT 604
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City | GAINESVILLE
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State | FL
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Zip | 32608-1016
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Country | US
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Telephone | 352-238-4402
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 19323
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.023657
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License Number State | OH
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