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General NPI Number Information
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NPI Number | 1225630197
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Entity Type | Individual
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Provider Name | CESAR CASTRO
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Gender | Male
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Dates
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Enumeration Date | 11/14/2020
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1600 PACIFIC HWY STE 166
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City | SAN DIEGO
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State | CA
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Zip | 92101-2422
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Country | US
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Telephone | 619-616-1559
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 E 14TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-4921
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Country | US
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Telephone | 619-616-1559
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95021196
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95201992
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License Number State | CA
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