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General NPI Number Information
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NPI Number | 1912067257
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Entity Type | Organization
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Legal Business Name | JUSTIN L. CAPPIELLO, MD, P.C.
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 324 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-4952
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Country | US
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Telephone | 717-394-6808
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Fax | 717-299-4133
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Provider Business Mailing Address
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Address Line | 324 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-4952
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Country | US
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Telephone | 717-394-6808
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Fax | 717-299-4133
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUSTIN L. CAPPIELLO
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Credential | M.D.
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Telephone | 717-394-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 031932L
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License Number State | PA
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