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General NPI Number Information
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NPI Number | 1912985227
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Entity Type | Individual
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Provider Name | DOMINIC CAPPELLERI MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 888 PULASKI HWY HUDSON RIVER HEALTHCARE, INC.
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City | GOSHEN
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State | NY
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Zip | 10924-6034
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Country | US
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Telephone | 845-651-2298
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Fax | 845-651-2299
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Provider Business Mailing Address
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Address Line | 1037 MAIN ST HUDSON RIVER HEALTHCARE, INC.
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City | PEEKSKILL
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State | NY
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Zip | 10566-2913
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Country | US
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Telephone | 914-734-8800
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Fax | 845-651-2299
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 113179
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 113179
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License Number State | NY
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