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General NPI Number Information
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NPI Number | 1255443115
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Entity Type | Individual
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Provider Name | RICHARD SCOTT CASTALDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/26/2012
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Provider Practice Location Address
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Address Line | 621 TENTH STREET
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City | NIAGARA FALLS
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State | NY
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Zip | 14302
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Country | US
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Telephone | 716-278-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 621 10TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1813
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Country | US
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Telephone | 716-278-4000
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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 | 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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 188421-1
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License Number State | NY
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