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General NPI Number Information
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NPI Number | 1144140377
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Entity Type | Individual
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Provider Name | ANGELICA DAMARA CASTRO
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 2044 FILLMORE ST FL 2
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-2781
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Country | US
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Telephone | 415-888-8368
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 KNOLLWOOD CT
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City | FAIRFIELD
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State | CA
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Zip | 94534-7955
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Country | US
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Telephone | 678-217-6402
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 100654
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License Number State | CA
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