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General NPI Number Information
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NPI Number | 1194329623
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Entity Type | Individual
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Provider Name | GERARDO ERNESTO CASTRO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 20500 SW 112TH AVE
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City | CUTLER BAY
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State | FL
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Zip | 33189-2296
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Country | US
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Telephone | 305-235-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 14209 SW 126TH PATH
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City | MIAMI
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State | FL
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Zip | 33186-7598
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Country | US
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Telephone | 786-681-2903
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS51749
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License Number State | FL
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