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General NPI Number Information
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NPI Number | 1851814446
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Entity Type | Individual
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Provider Name | IVANA CAPIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 475 SEAVIEW AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3436
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Country | US
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Telephone | 718-702-0438
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 833-462-6436
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Fax |
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 307223
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 307223
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License Number State | NY
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