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General NPI Number Information
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NPI Number | 1417429168
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Entity Type | Organization
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Legal Business Name | LINDA L CASTEEL, MD, PC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 4374 HAYNES CIR
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City | SNELLVILLE
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State | GA
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Zip | 30039-5403
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Country | US
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Telephone | 770-982-0283
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Fax |
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Provider Business Mailing Address
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Address Line | 4374 HAYNES CIR
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City | SNELLVILLE
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State | GA
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Zip | 30039-5403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | KENNETH DOMBROWSKI
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Credential | PHD, MBA
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Telephone | 404-824-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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