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General NPI Number Information
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NPI Number | 1477829927
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Entity Type | Individual
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Provider Name | ANTONIA TERUEL CASTELLON DDS
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Gender | Female
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 9481 E IRONWOOD SQUARE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone | 480-945-3629
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 TERRACE ST SALK ANNEX B22
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City | PITTSBURGH
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State | PA
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Zip | 15261-2253
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Country | US
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Telephone | 412-383-1065
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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 | DS041154
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License Number State | PA
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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 | 61249
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | D010117
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License Number State | AZ
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