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NPI 1619314259

NPI 1619314259 : APRIL ANNE CASTILLO M.D. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1619314259
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL ANNE CASTILLO M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2013
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    Last Update Date     |    11/04/2016
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Provider Practice Location Address
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    Address Line         |    110 W 14TH ST APT 230
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10011-7303
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    Country              |    US
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    Telephone            |    212-242-4333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    230 BRIANT PARK DR 
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    City                 |    SPRINGFIELD
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    State                |    NJ
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    Zip                  |    07081-2165
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    Country              |    US
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    Telephone            |    631-662-6830
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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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        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    258001-1
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    License Number State |    NY
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