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General NPI Number Information
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NPI Number | 1356044309
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Entity Type | Individual
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Provider Name | NIKKI JOSE DEL CASTILLO DDS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 505 HARMON LOOP RD STE 300
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City | DEDEDO
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State | GU
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Zip | 96929-6519
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Country | US
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Telephone | 671-637-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 113 W DAOG CT
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City | DEDEDO
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State | GU
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Zip | 96929-5514
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Country | US
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Telephone | 671-686-5866
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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 | DT-3186
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D1058
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License Number State | GU
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