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General NPI Number Information
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NPI Number | 1780960831
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Entity Type | Organization
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Legal Business Name | CHARLES CAPLIS DPM SC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE SUITE 720
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-701-0770
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Fax | 312-701-0705
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Provider Business Mailing Address
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Address Line | 30 N MICHIGAN AVE SUITE 720
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City | CHICAGO
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State | IL
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Zip | 60602-3402
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Country | US
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Telephone | 312-701-0770
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Fax | 312-701-0705
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES A CAPLIS
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Credential | DPM
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Telephone | 312-701-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 016005304
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License Number State | IL
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