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General NPI Number Information
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NPI Number | 1588155683
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Entity Type | Individual
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Provider Name | DAVID BRADLEY CASTEEL DDS
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Gender | Male
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 5402 MINERAL POINT RD
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City | MADISON
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State | WI
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Zip | 53705-4659
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Country | US
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Telephone | 608-202-3128
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Fax |
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Provider Business Mailing Address
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Address Line | 12904 E 57TH TER
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City | KANSAS CITY
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State | MO
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Zip | 64133-3617
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Country | US
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Telephone | 262-960-5601
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Fax | 262-960-5601
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1001812
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License Number State | WI
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