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NPI 1548388739

NPI 1548388739 : BRIAN EDWARD CASTEEL RRT : PLANTATION, FL

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General NPI Number Information
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    NPI Number           |    1548388739
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN EDWARD CASTEEL RRT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    11260 NW 22ND ST 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33323-2022
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    Country              |    US
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    Telephone            |    954-931-5331
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    Fax                  |    954-916-9714
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Provider Business Mailing Address
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    Address Line         |    11260 NW 22ND ST 
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    City                 |    PLANTATION
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    State                |    FL
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    Zip                  |    33323-2022
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    Country              |    US
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    Telephone            |    954-931-5331
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    Fax                  |    954-916-9714
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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        |    2279H0200X
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    Taxonomy Name        |    Home Health Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    FL
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