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General NPI Number Information
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NPI Number | 1306019492
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Entity Type | Individual
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Provider Name | RICARDO CASTANEDA JR. DMD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE STE 106
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City | MIAMI
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State | FL
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Zip | 33183-4825
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Country | US
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Telephone | 305-598-6665
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Fax | 305-598-6662
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Provider Business Mailing Address
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Address Line | 8200 SW 117TH AVE STE 106
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City | MIAMI
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State | FL
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Zip | 33183-4825
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Country | US
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Telephone | 305-598-6665
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Fax | 305-598-6662
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN15944
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License Number State | FL
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