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General NPI Number Information
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NPI Number | 1902824105
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Entity Type | Individual
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Provider Name | LISA CAPRIO MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 130 TAMIAMI TRL N C/O TOTAL SURGERY CENTER
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City | NAPLES
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State | FL
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Zip | 34102-6224
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Country | US
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Telephone | 866-452-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 VANDERBILT BEACH RD STE 388
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City | NAPLES
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State | FL
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Zip | 34109-2654
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Country | US
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Telephone | 239-292-9467
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Fax | 239-204-9332
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME70744
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License Number State | FL
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