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General NPI Number Information
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NPI Number | 1972664118
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Entity Type | Organization
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Legal Business Name | CAPPEL DRUGSTORE
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 904 4TH AVE
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City | KINDER
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State | LA
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Zip | 70648
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Country | US
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Telephone | 337-738-2531
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | KINDER
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State | LA
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Zip | 70648-0430
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Country | US
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Telephone | 337-738-2531
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN LANE CAPPEL SR.
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Credential |
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Telephone | 337-738-2531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 134 IR
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License Number State | LA
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