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General NPI Number Information
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NPI Number | 1154350551
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Entity Type | Individual
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Provider Name | PATRICIA A CASTILLO PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 23 S BROADWAY JAMES J PETERS VAMC, WHITE PLAINS CBOC
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3503
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Country | US
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Telephone | 718-584-9000
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Fax | 914-421-1956
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Provider Business Mailing Address
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Address Line | 23 S BROADWAY JAMES J PETERS VAMC, WHITE PLAINS CBOC
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3503
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Country | US
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Telephone | 718-584-9000
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Fax | 914-421-1956
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0027181
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1932
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 103890
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License Number State | NC
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