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General NPI Number Information
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NPI Number | 1114512977
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Entity Type | Individual
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Provider Name | DAWILMER CASTILLO PHARMD, RPH, MS
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Gender | Male
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 161 W 54TH ST APT 601
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City | NEW YORK
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State | NY
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Zip | 10019-5318
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Country | US
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Telephone | 617-513-8436
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Fax |
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Provider Business Mailing Address
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Address Line | 161 W 54TH ST APT 601
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City | NEW YORK
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State | NY
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Zip | 10019-5318
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Country | US
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Telephone | 617-513-8436
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04165600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 067918
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License Number State | NY
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