Basic Information
| Provider Information | |||||||||
| NPI: | 1225761380 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAPRON | ||||||||
| FirstName: | MARGARET | ||||||||
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| Credential: | RDN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1008 N 24TH ST | ||||||||
| Address2: | |||||||||
| City: | BOISE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 837022310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4252051602 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1055 N CURTIS RD | ||||||||
| Address2: | |||||||||
| City: | BOISE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 837061309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2083672121 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2022 | ||||||||
| LastUpdateDate: | 07/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | LD-D-10220952 | OR | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | DI-60695907 | WA | N | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | D-1168 | ID | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.