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NPI 1790785707

NPI 1790785707 : SHERRI FAIR CAPLAN DO : MELBOURNE, FL

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General NPI Number Information
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    NPI Number           |    1790785707
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRI FAIR CAPLAN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2005
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    Last Update Date     |    05/20/2025
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Provider Practice Location Address
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    Address Line         |    2325 VIDINA DR 
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    City                 |    MELBOURNE
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    State                |    FL
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    Zip                  |    32940-7698
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    Country              |    US
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    Telephone            |    321-471-1068
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    Fax                  |    321-434-9285
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Provider Business Mailing Address
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    Address Line         |    3300 S FISKE BLVD 
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    City                 |    ROCKLEDGE
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    State                |    FL
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    Zip                  |    32955-4306
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    Country              |    US
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    Telephone            |    321-868-2778
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    Fax                  |    321-951-7408
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    OS8369
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    License Number State |    FL
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