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General NPI Number Information
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NPI Number | 1184958431
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Entity Type | Individual
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Provider Name | J FERNANDO CASTANEDA PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 707 HIGHLANDER BLVD
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City | ARLINGTON
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State | TX
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Zip | 76015-4319
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Country | US
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Telephone | 855-416-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 6470 NAPLES DR
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City | IRVING
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State | TX
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Zip | 75039-4167
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Country | US
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Telephone | 972-971-5536
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA06346
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License Number State | TX
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