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General NPI Number Information
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NPI Number | 1083256663
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Entity Type | Individual
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Provider Name | JESUS DANIEL CASTILLO DC
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Gender | Male
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 604 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78501-9335
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Country | US
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Telephone | 956-627-3865
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 HIBISCUS AVE APT D
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City | MCALLEN
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State | TX
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Zip | 78501-3961
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14172
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 14172
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 14172
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License Number State | TX
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