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General NPI Number Information
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NPI Number | 1558062612
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Entity Type | Organization
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Legal Business Name | CASTRO CHIROPRACTIC
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Dates
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Enumeration Date | 03/15/2023
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Last Update Date | 03/26/2023
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Provider Practice Location Address
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Address Line | 11550 ROSECRANS AVE STE 106
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City | NORWALK
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State | CA
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Zip | 90650-3881
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Country | US
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Telephone | 562-474-1314
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Fax | 562-735-0205
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Provider Business Mailing Address
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Address Line | 11550 ROSECRANS AVE STE 106
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City | NORWALK
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State | CA
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Zip | 90650-3881
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Country | US
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Telephone | 562-474-1314
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Fax | 562-735-0205
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CARLOS CASTRO
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Credential | D.C.
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Telephone | 562-293-3336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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