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NPI 1174432751

NPI 1174432751 : RUBEN OMAR CASTRO : FPO, AP

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General NPI Number Information
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    NPI Number           |    1174432751
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    Entity Type          |    Individual 
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    Provider Name        |    RUBEN OMAR CASTRO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/01/2026
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    Last Update Date     |    09/01/2026
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Provider Practice Location Address
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    Address Line         |    PSC 482 BOX 1600 
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96362-0017
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    Country              |    US
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    Telephone            |    315-646-7488
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PSC 80 BOX 12498 
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    City                 |    APO
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    State                |    AP
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    Zip                  |    96367-0027
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    Country              |    US
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    Telephone            |    210-343-0069
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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        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    95061197
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    889065
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    License Number State |    TX
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