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General NPI Number Information
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NPI Number | 1265884647
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Entity Type | Individual
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Provider Name | KRISTY CASTLES DDS
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Gender | Female
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 862 FOLLY RD STE 110
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City | CHARLESTON
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State | SC
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Zip | 29412-3452
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Country | US
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Telephone | 843-278-6989
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Fax |
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Provider Business Mailing Address
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Address Line | 862 FOLLY RD STE 110
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City | CHARLESTON
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State | SC
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Zip | 29412-3452
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Country | US
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Telephone | 843-278-6989
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401414909
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DGD 8751
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License Number State | SC
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