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General NPI Number Information
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NPI Number | 1295114874
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Entity Type | Organization
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Legal Business Name | JOSEPH CASTREJON MD PC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 2023 W VISTA WAY SUITE K
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City | VISTA
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State | CA
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Zip | 92083-6030
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Country | US
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Telephone | 760-806-1406
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Fax | 760-806-1408
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Provider Business Mailing Address
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Address Line | 2023 W VISTA WAY SUITE K
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City | VISTA
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State | CA
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Zip | 92083-6030
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Country | US
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Telephone | 760-806-1406
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Fax | 760-806-1408
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH CASTREJON
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Credential | M.D.
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Telephone | 760-525-5812
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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 |
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License Number State |
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