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General NPI Number Information
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NPI Number | 1265467948
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Entity Type | Organization
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Legal Business Name | CASTLE FAMILY HEALTH CENTER & ADULT DAYCARE
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 3605 HOSPITAL RD SUITE H
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City | ATWATER
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State | CA
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Zip | 95301-5173
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Country | US
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Telephone | 209-381-2000
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Fax | 209-726-0278
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Provider Business Mailing Address
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Address Line | 3605 HOSPITAL RD SUITE H
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City | ATWATER
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State | CA
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Zip | 95301-5173
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Country | US
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Telephone | 209-381-2000
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Fax | 209-726-0278
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS SERVICES
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Name | MISS DEBBIE MARIE KELLEY
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Credential |
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Telephone | 209-381-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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