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General NPI Number Information
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NPI Number | 1083797989
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Entity Type | Organization
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Legal Business Name | CASTILLO MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 6355 NW 36TH ST SUITE 502A
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7027
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Country | US
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Telephone | 305-871-8076
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Fax | 305-871-8077
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Provider Business Mailing Address
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Address Line | 6355 NW 36TH ST SUITE 502A
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-7027
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Country | US
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Telephone | 305-871-8076
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Fax | 305-871-8077
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUREILIS P CARRASCO
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Credential |
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Telephone | 305-871-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HME 2231
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License Number State | FL
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