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General NPI Number Information
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NPI Number | 1942426978
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Entity Type | Organization
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Legal Business Name | PAUL L CAPUTO, DDS PA
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 3490 E LAKE RD SUITE A
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City | PALM HARBOR
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State | FL
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Zip | 34685-2421
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Country | US
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Telephone | 727-789-1333
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Fax | 727-772-4166
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Provider Business Mailing Address
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Address Line | 3490 E LAKE RD SUITE A
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City | PALM HARBOR
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State | FL
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Zip | 34685-2421
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Country | US
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Telephone | 727-789-1333
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Fax | 727-772-4166
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL LUCIANO CAPUTO
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Credential | DDS
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Telephone | 727-789-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN0011227
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License Number State | FL
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