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General NPI Number Information
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NPI Number | 1083691778
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Entity Type | Individual
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Provider Name | ROMEO C. CASTILLO MD
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Gender | Male
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 1524 W LACEY BLVD SUITE 203
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City | HANFORD
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State | CA
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Zip | 93230-5965
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Country | US
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Telephone | 559-853-4660
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Fax | 559-583-4685
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Provider Business Mailing Address
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Address Line | 1524 W LACEY BLVD SUITE 203
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City | HANFORD
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State | CA
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Zip | 93230-5965
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Country | US
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Telephone | 559-853-4660
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Fax | 559-583-4685
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A83587
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License Number State | CA
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