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General NPI Number Information
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NPI Number | 1487800504
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Entity Type | Organization
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Legal Business Name | MIGUEL E. CASTELLANOS, M.D., P.A.
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 610 STRICKLAND DRIVE SUITE 100
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City | ORANGE
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State | TX
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Zip | 77630-4788
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Country | US
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Telephone | 409-886-7245
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Fax | 409-883-7450
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Provider Business Mailing Address
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Address Line | 610 STRICKLAND DRIVE SUITE 100
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City | ORANGE
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State | TX
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Zip | 77630-4788
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Country | US
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Telephone | 409-886-7245
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Fax | 409-883-7450
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIGUEL E. CASTELLANOS
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Credential | M.D.
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Telephone | 409-886-7245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | H9311
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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