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1124409578
JACOB M CAPITO
INDIANAPOLIS, IN
NPI
1124409578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01077807A)
Enumeration Date
2015-06-11
Last Update Date
2024-01-16
Business Address
JACOB M CAPITO MD
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-5975
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Mailing Address
JACOB M CAPITO MD
250 N SHADELAND AVE SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: 317-962-5975
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