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General NPI Number Information
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NPI Number | 1316361199
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Entity Type | Organization
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Legal Business Name | MICHAEL A CASTILLO MD, PC
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 11851 N 51ST AVE STE D120
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City | GLENDALE
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State | AZ
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Zip | 85304-2839
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Country | US
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Telephone | 602-680-8002
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Fax | 602-242-9895
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Provider Business Mailing Address
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Address Line | 11851 N 51ST AVE STE D120
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City | GLENDALE
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State | AZ
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Zip | 85304-2839
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Country | US
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Telephone | 602-680-8002
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Fax | 602-242-9895
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | STEPHANIE CASTILLO
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Credential |
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Telephone | 602-242-9891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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