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General NPI Number Information
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NPI Number | 1205919602
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Entity Type | Individual
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Provider Name | RANDOLFO V CASTILLO MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1040 W JEFFERSON ST
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-544-1400
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Fax | 956-698-5445
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Provider Business Mailing Address
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Address Line | PO BOX 4856
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City | BROWNSVILLE
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State | TX
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Zip | 78523
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Country | US
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Telephone | 956-542-7502
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Fax | 956-541-1958
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G1867
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License Number State | TX
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