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General NPI Number Information
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NPI Number | 1851715221
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Entity Type | Organization
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Legal Business Name | CAPCOR NEURODIAGNOSTICS
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 14 KELLOGG RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2825
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Country | US
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Telephone | 315-542-2782
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Fax |
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Provider Business Mailing Address
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Address Line | 14 KELLOGG RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2825
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Country | US
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Telephone | 315-542-2782
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | SALVATORE CAPUANA
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Credential | DC
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Telephone | 315-542-2782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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