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NPI 1164303566

NPI 1164303566 : SANTIAGO JOAQUIN CASTILLO : AUBURN, AL

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General NPI Number Information
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    NPI Number           |    1164303566
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    Entity Type          |    Individual 
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    Provider Name        |    SANTIAGO JOAQUIN CASTILLO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/11/2025
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    333 S COLLEGE ST 
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    City                 |    AUBURN
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    State                |    AL
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    Zip                  |    36830-7431
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    Country              |    US
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    Telephone            |    133-446-6820
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    524 HARPER AVE 
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    City                 |    AUBURN
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    State                |    AL
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    Zip                  |    36830-4910
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    Country              |    US
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    Telephone            |    512-705-3558
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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        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    S14985
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    License Number State |    AL
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