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General NPI Number Information
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NPI Number | 1770526063
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Entity Type | Individual
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Provider Name | JOHN BATTISTA CAPUTO II CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 1200 J D ANDERSON DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-3494
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Country | US
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Telephone | 800-394-4445
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Fax | 706-650-1034
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Provider Business Mailing Address
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Address Line | 141 ASHMORE DR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9659
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Country | US
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Telephone | 304-677-2444
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 58730
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License Number State | WV
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