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General NPI Number Information
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NPI Number | 1477962413
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Entity Type | Individual
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Provider Name | ISABEL CASTILLO D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 2330 NE 9TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3579
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Country | US
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Telephone | 954-246-4126
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 NE 9TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3579
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Country | US
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Telephone | 305-205-2483
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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 | 10118
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License Number State | TN
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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 | DN23924
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License Number State | FL
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