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General NPI Number Information
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NPI Number | 1457744179
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Entity Type | Organization
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Legal Business Name | DANIEL DEL CASTILLO DMD PA
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 925 ARTHUR GODFREY RD #302
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3325
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Country | US
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Telephone | 305-535-3113
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Fax | 305-535-3138
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Provider Business Mailing Address
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Address Line | 925 ARTHUR GODFREY RD #302
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3325
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Country | US
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Telephone | 305-535-3113
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Fax | 305-535-3138
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DANIEL A DELCASTILLO
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Credential | DMD
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Telephone | 305-535-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 12306
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License Number State | FL
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