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General NPI Number Information
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NPI Number | 1912466053
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Entity Type | Organization
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Legal Business Name | DINA CASPARRO, DPM, INC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 11/20/2021
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Provider Practice Location Address
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Address Line | 581 MCCRAY ST STE F
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City | HOLLISTER
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State | CA
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Zip | 95023-4091
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Country | US
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Telephone | 831-636-3338
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Fax | 831-531-2507
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Provider Business Mailing Address
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Address Line | 892 DUFFIN DR
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City | HOLLISTER
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State | CA
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Zip | 95023-6600
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Country | US
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Telephone | 805-428-0773
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DINA CASPARRO
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Credential | DPM
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Telephone | 805-428-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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