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General NPI Number Information
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NPI Number | 1528411774
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Entity Type | Individual
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Provider Name | FERNANDO ERNESTO CASADO CASTILLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 4033 TALBOT RD S STE 570
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City | RENTON
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State | WA
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Zip | 98055-5700
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Country | US
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Telephone | 425-690-3487
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Fax | 425-690-9087
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Provider Business Mailing Address
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Address Line | 2551 HOLIDAY RD APT E5
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City | CORALVILLE
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State | IA
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Zip | 52241-2786
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Country | US
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Telephone | 914-309-4810
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD61417522
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD-45957
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 74676
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD61417522
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License Number State | WA
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