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General NPI Number Information
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NPI Number | 1134233703
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Entity Type | Individual
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Provider Name | ANTHONY R CASTILLO L.I.S.W.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7840 STATE ROUTE 348
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City | OTWAY
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State | OH
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Zip | 45657-9077
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Country | US
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Telephone | 740-412-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 7840 STATE ROUTE 348
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City | OTWAY
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State | OH
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Zip | 45657-9077
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Country | US
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Telephone | 740-412-1974
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-0007189
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2506972
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License Number State | OH
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