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General NPI Number Information
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NPI Number | 1740819275
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Entity Type | Individual
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Provider Name | LORENZO CAPANNOLO MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6161 W CHARLESTON BLVD BLDG 3
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City | LAS VEGAS
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State | NV
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Zip | 89146-1126
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Country | US
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Telephone | 702-486-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 8445 HAVEN ST
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City | LAS VEGAS
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State | NV
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Zip | 89123-1653
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Country | US
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Telephone | 702-327-8493
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 26194
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License Number State | NV
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