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General NPI Number Information
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NPI Number | 1902919640
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Entity Type | Individual
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Provider Name | CHRISTOPHER CAPELLE MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 780 WELCH RD SUITE 207
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City | PALO ALTO
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State | CA
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Zip | 94304-1516
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Country | US
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Telephone | 650-329-1577
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Fax | 650-207-6651
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Provider Business Mailing Address
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Address Line | 1 BAYWOOD AVENUE STE. 7
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City | SAN MATEO
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State | CA
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Zip | 94402-1537
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Country | US
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Telephone | 650-344-6961
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G57958
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License Number State | CA
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