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General NPI Number Information
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NPI Number | 1205014974
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Entity Type | Organization
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Legal Business Name | CATHERINE SPOO CASTLEBERRY O.D., P.A.
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 2524 LILLIAN MILLER PARKWAY SUITE 100
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City | DENTON
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-891-0484
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Fax | 940-383-4700
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Provider Business Mailing Address
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Address Line | 2524 LILLIAN MILLER PARKWAY SUITE 100
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City | DENTON
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-891-0484
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Fax | 940-383-4700
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. CATHERINE SPOO CASTLEBERRY
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Credential | O.D, P.A.
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Telephone | 940-891-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3870TG
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License Number State | TX
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