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General NPI Number Information
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NPI Number | 1770816308
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Entity Type | Individual
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Provider Name | CINDY CAPESTANY BASSFORD PA-C, PHD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 4700 EXCHANGE CT STE 110
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City | BOCA RATON
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State | FL
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Zip | 33431-4450
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Country | US
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Telephone | 877-345-5300
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Fax | 561-989-3665
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Provider Business Mailing Address
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Address Line | 4700 EXCHANGE CT STE 110
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City | BOCA RATON
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State | FL
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Zip | 33431-4450
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Country | US
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Telephone | 877-345-5300
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Fax | 561-989-3665
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 9105028
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License Number State | FL
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