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NPI 1861500910

NPI 1861500910 : VONDA JOLENE CAPPER O.D. : BELMOND, IA

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General NPI Number Information
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    NPI Number           |    1861500910
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    Entity Type          |    Individual 
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    Provider Name        |    VONDA JOLENE CAPPER O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2006
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    Last Update Date     |    06/03/2024
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Provider Practice Location Address
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    Address Line         |    307 E MAIN ST 
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    City                 |    BELMOND
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    State                |    IA
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    Zip                  |    50421-1124
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    Country              |    US
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    Telephone            |    641-423-8861
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    Fax                  |    641-423-0727
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Provider Business Mailing Address
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    Address Line         |    307 E MAIN ST 
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    City                 |    BELMOND
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    State                |    IA
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    Zip                  |    50421-1124
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    Country              |    US
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    Telephone            |    641-444-3380
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    Fax                  |    641-444-3929
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    02046
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    License Number State |    IA
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