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General NPI Number Information
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NPI Number | 1225222169
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Entity Type | Organization
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Legal Business Name | RICHARD S CASTALDO MD, PC
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 533 NIAGARA ST
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City | TONAWANDA
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State | NY
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Zip | 14150-1810
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Country | US
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Telephone | 716-743-5450
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Fax | 716-743-5455
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Provider Business Mailing Address
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Address Line | 533 NIAGARA ST
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City | TONAWANDA
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State | NY
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Zip | 14150-1810
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Country | US
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Telephone | 716-743-5450
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Fax | 716-743-5455
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD S CASTALDO
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Credential | M.D.
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Telephone | 716-743-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 188421-1
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License Number State | NY
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