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General NPI Number Information
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NPI Number | 1518120930
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Entity Type | Organization
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Legal Business Name | JOSE V CASTELLANOS MD PLLC
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 900 NW 13TH ST SUITE 203
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City | BOCA RATON
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State | FL
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Zip | 33486-2335
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Country | US
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Telephone | 561-391-5993
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Fax | 561-391-5946
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Provider Business Mailing Address
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Address Line | PO BOX 810533
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City | BOCA RATON
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State | FL
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Zip | 33481-0533
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Country | US
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Telephone | 561-391-5993
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE V CASTELLANOS
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Credential | M.D.
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Telephone | 561-391-5993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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