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General NPI Number Information
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NPI Number | 1962494211
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Entity Type | Individual
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Provider Name | KAPIL PURI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 1110 JUNIPER AVE
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City | NICEVILLE
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State | FL
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Zip | 32578-2218
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Country | US
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Telephone | 850-279-4600
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Fax | 850-279-4566
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | NICEVILLE
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State | FL
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Zip | 32588-0524
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Country | US
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Telephone | 850-279-4600
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Fax | 850-279-4566
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | APP-000857284
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME91106
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License Number State | FL
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