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General NPI Number Information
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NPI Number | 1154733632
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Entity Type | Organization
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Legal Business Name | CASTILLO & TORRES MD PA
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 2328 S CONGRESS AVE SUITE 1E
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7618
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Country | US
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Telephone | 561-324-7224
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Fax | 561-246-4859
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Provider Business Mailing Address
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Address Line | 2328 S CONGRESS AVE SUITE 1E
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City | PALM SPRINGS
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State | FL
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Zip | 33406-7618
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Country | US
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Telephone | 561-324-7224
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Fax | 561-246-4859
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Authorized Official
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Title or Position | MD
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Name | DR. LUIS C CASTILLO
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Credential |
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Telephone | 561-324-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME108476
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License Number State | ZZ
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