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General NPI Number Information
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NPI Number | 1184914855
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Entity Type | Organization
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Legal Business Name | CASTELLON DEL SOL CORP
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 2141 16TH AVE SW
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City | NAPLES
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State | FL
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Zip | 34117-4338
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Country | US
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Telephone | 239-601-0168
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 16TH AVE SW
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City | NAPLES
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State | FL
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Zip | 34117-4338
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Country | US
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Telephone | 239-601-0168
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JULIO M DEL SOL-GARCIA
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Credential |
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Telephone | 239-384-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11937
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License Number State | FL
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