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General NPI Number Information
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NPI Number | 1952838690
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Entity Type | Organization
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Legal Business Name | CAPSTONE BEHAVIORAL ASSOCIATES INC.
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 33 S DELAWARE AVE STE 105
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City | YARDLEY
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State | PA
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Zip | 19067
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Country | US
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Telephone | 215-995-2528
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Fax |
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Provider Business Mailing Address
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Address Line | 33 S DELAWARE AVE STE 105
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City | YARDLEY
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State | PA
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Zip | 19067-1524
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Country | US
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Telephone | 215-715-8020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BIJU BASIL
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Credential | MD
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Telephone | 215-715-8020
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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 |
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License Number State |
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