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General NPI Number Information
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NPI Number | 1881891885
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Entity Type | Organization
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Legal Business Name | JOHN CAPINO, MD PC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 1230 BRIDGE ST
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City | LOWELL
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State | MA
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Zip | 01850-1261
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Country | US
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Telephone | 978-452-2100
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Fax | 978-446-0490
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Provider Business Mailing Address
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Address Line | 1230 BRIDGE ST
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City | LOWELL
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State | MA
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Zip | 01850-1261
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Country | US
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Telephone | 978-452-2100
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Fax | 978-446-0490
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN CAPINO
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Credential | M.D.
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Telephone | 978-452-2100
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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 | 57517
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 57517
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 57517
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License Number State | MA
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