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General NPI Number Information
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NPI Number | 1144256926
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Entity Type | Individual
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Provider Name | MIGUEL E CASTELLANOS MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 610 STRICKLAND DR SUITE 100
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City | ORANGE
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State | TX
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Zip | 77630-4786
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Country | US
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Telephone | 409-886-7245
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Fax | 409-883-7450
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Provider Business Mailing Address
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Address Line | 610 STRICKLAND DR SUITE 100
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City | ORANGE
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State | TX
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Zip | 77630-4786
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Country | US
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Telephone | 409-886-7245
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Fax | 409-883-7450
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | H9311
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | L05204
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License Number State | TX
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