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General NPI Number Information
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NPI Number | 1770757619
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Entity Type | Individual
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Provider Name | ANGELO MICHAEL CAPRARELLA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 200 MEMORIAL AVE DEPARTMENT OF ANESTHESIOLOGY
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City | WESTMINSTER
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State | MD
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Zip | 21157-5726
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Country | US
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Telephone | 716-228-3327
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Fax |
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Provider Business Mailing Address
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Address Line | 783 NADINES CT
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City | WESTMINSTER
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State | MD
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Zip | 21157-7143
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Country | US
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Telephone | 410-857-0289
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D0067642
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License Number State | MD
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