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General NPI Number Information
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NPI Number | 1073820528
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Entity Type | Individual
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Provider Name | ARTURO CASTILLO PAC
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Gender | Male
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 2033 W 7TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-4073
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Country | US
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Telephone | 213-413-5093
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Fax | 213-413-2465
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Provider Business Mailing Address
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Address Line | 5622 N GALANTO AVE
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City | AZUSA
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State | CA
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Zip | 91702-4800
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Country | US
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Telephone | 626-216-6042
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 19585
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License Number State | CA
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