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General NPI Number Information
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NPI Number | 1063644102
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Entity Type | Organization
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Legal Business Name | HAYDEE G CASTANEDA MD INC.
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 3331 E ARTESIA BLVD
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City | LONG BEACH
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State | CA
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Zip | 90805-2812
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Country | US
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Telephone | 562-634-7431
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 E ARTESIA BLVD
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City | LONG BEACH
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State | CA
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Zip | 90805-2812
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Country | US
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Telephone | 562-634-7431
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HAYDEE G. CASTANEDA
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Credential | MD
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Telephone | 562-634-7431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A54867
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License Number State | CA
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