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General NPI Number Information
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NPI Number | 1326009184
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Entity Type | Individual
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Provider Name | ELSA CASTRO DMD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 4107B S. FEDERAL BLVD
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City | ENGLEWOOD
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State | CO
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Zip | 80110-1198
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Country | US
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Telephone | 303-501-6487
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Fax |
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Provider Business Mailing Address
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Address Line | 9831 FOXHILL CIR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-4320
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Country | US
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Telephone | 720-344-8541
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7754
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License Number State | CO
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