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General NPI Number Information
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NPI Number | 1154378230
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Entity Type | Organization
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Legal Business Name | CASTILLO, BLACHAR & BRASAC, M.D.,P.A.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 4302 ALTON ROAD SUITE 580
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-532-1989
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Fax | 305-532-8459
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Provider Business Mailing Address
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Address Line | 4302 ALTON ROAD SUITE 580
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City | MIAMI BEACH
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State | FL
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Zip | 33140
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Country | US
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Telephone | 305-532-1989
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Fax | 305-532-8459
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MELVIN EDUARDO CASTILLO
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Credential | MD
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Telephone | 305-532-1989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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