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General NPI Number Information
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NPI Number | 1043878465
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Entity Type | Individual
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Provider Name | MICHAEL PHILIP CASTALDO
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Gender | Male
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 399 KNOLLWOOD RD
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City | WHITE PLAINS
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State | NY
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Zip | 10603-1931
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Country | US
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Telephone | 914-705-1991
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Fax |
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Provider Business Mailing Address
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Address Line | 496 W WILLIAM ST
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City | PORT CHESTER
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State | NY
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Zip | 10573-3557
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Country | US
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Telephone | 914-384-5312
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Fax |
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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