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General NPI Number Information
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NPI Number | 1801993183
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Entity Type | Organization
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Legal Business Name | FRANK D. CAPORUSSO, MD, PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1843 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2115
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Country | US
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Telephone | 215-755-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 1843 S BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19148-2115
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Country | US
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Telephone | 215-755-4055
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK D CAPORUSSO
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Credential | MD
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Telephone | 215-755-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD 022208E
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License Number State | PA
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