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General NPI Number Information
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NPI Number | 1770131930
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Entity Type | Organization
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Legal Business Name | CAPITOLMED LLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 25 JEFFERSON WAY SUITE 102B
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City | KETCHIKAN
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State | AK
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Zip | 99901-5953
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Country | US
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Telephone | 907-247-7827
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Fax | 973-215-2052
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Provider Business Mailing Address
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Address Line | 25 JEFFERSON WAY STE 102B
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City | KETCHIKAN
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State | AK
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Zip | 99901-5953
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Country | US
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Telephone | 907-247-7827
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Fax | 973-215-2052
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | MR. KEVIN A HALL
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Credential | M.D.
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Telephone | 907-247-7827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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