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General NPI Number Information
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NPI Number | 1609175538
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Entity Type | Individual
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Provider Name | NESTOR A CASTILLO SR. SW
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Gender | Male
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 462 1ST AVE FLOOR 19 NORTH 47
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City | NEW YORK
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State | NY
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Zip | 10016-9198
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Country | US
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Telephone | 212-562-8734
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Fax | 212-562-2348
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Provider Business Mailing Address
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Address Line | 2861 BAINBRIDGE AVE APARTMENT #2
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City | BRONX
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State | NY
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Zip | 10458-2803
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Country | US
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Telephone | 718-329-9773
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Fax | 718-329-9773
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 072002-1
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License Number State | NY
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