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General NPI Number Information
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NPI Number | 1871120121
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Entity Type | Individual
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Provider Name | EDWARD J CAPONE MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 1 HOSPITAL PLZ
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City | STAMFORD
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State | CT
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Zip | 06902-3602
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Country | US
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Telephone | 203-276-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 455 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 76761
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License Number State | CT
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