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General NPI Number Information
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NPI Number | 1073798682
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Entity Type | Organization
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Legal Business Name | THOMAS A CASTILLENTI DO INC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 2039 INDIAN ROCKS RD S
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City | LARGO
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State | FL
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Zip | 33774-1035
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Country | US
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Telephone | 727-584-7666
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Fax | 727-586-1386
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Provider Business Mailing Address
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Address Line | 2039 INDIAN ROCKS RD S
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City | LARGO
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State | FL
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Zip | 33774-1035
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Country | US
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Telephone | 727-584-7666
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Fax | 727-586-1386
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS A CASTILLENTI
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Credential | DO
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Telephone | 727-584-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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