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General NPI Number Information
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NPI Number | 1316306848
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Entity Type | Organization
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Legal Business Name | ROBERT CASTRO PLLC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 1926 PLEASANTON RD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1209
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Country | US
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Telephone | 210-924-1811
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Fax |
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Provider Business Mailing Address
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Address Line | 1926 PLEASANTON RD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1209
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Country | US
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Telephone | 210-924-1811
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT CASTRO
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Credential | DDS
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Telephone | 210-924-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 29120
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License Number State | TX
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