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General NPI Number Information
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NPI Number | 1386958155
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Entity Type | Individual
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Provider Name | MARCO P CASTELLINI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 13205 REAMS ROAD 156
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City | WINDERMERE
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State | FL
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Zip | 34786
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Country | US
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Telephone | 407-203-7037
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Fax |
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Provider Business Mailing Address
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Address Line | 13205 REAMS ROAD 156
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City | WINDERMERE
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State | FL
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Zip | 34786
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Country | US
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Telephone | 407-203-7037
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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 | DN19870
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL10946
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License Number State | MA
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