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General NPI Number Information
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NPI Number | 1790089407
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Entity Type | Organization
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Legal Business Name | ROBERT S CAPUTO D.O.,P.A.
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 194 E REDSTONE AVE STE B
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City | CRESTVIEW
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State | FL
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Zip | 32539-5368
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Country | US
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Telephone | 850-398-8873
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Fax | 850-398-8897
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Provider Business Mailing Address
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Address Line | 194 E REDSTONE AVE STE B
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City | CRESTVIEW
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State | FL
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Zip | 32539-5368
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Country | US
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Telephone | 850-398-8873
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Fax | 850-398-8897
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Authorized Official
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Title or Position | PROVIDER
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Name | MRS. ROBERT SCOTT CAPUTO
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Credential | D.O.
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Telephone | 850-398-8873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0S005464
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License Number State | FL
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