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NPI Code Detail

MEDICARE: NICHOLAS DAVID LOCAPUTO PA-C

MEDICARE:   NICHOLAS DAVID LOCAPUTO  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician50.008252RXOH
2390200000XStudent in an Organized Health Care Education/Training Program
3363AM0700XMedical Physician Assistant50.008252RXOH

General Provider Information

NPI Number : 1902516636
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS DAVID LOCAPUTO PA-C
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-585-5506
Fax Number : 513-245-3672
Provider Business Practice Location Address
First Line : 3229 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3018
Country : US
Telephone Number : 513-585-8222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2022
Last Update Date : 11/21/2024

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Directions to “ NICHOLAS DAVID LOCAPUTO PA-C” Practice Location

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