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General NPI Number Information
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NPI Number | 1619584430
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Entity Type | Organization
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Legal Business Name | ANTHONY CASTELLANO DDS, PC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 2500 MONUMENT AVE
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City | RICHMOND
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State | VA
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Zip | 23220-2619
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Country | US
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Telephone | 804-359-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 MONUMENT AVE
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City | RICHMOND
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State | VA
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Zip | 23220-2619
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Country | US
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Telephone | 804-359-3449
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY ROBERT CASTELLANO
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Credential | DDS
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Telephone | 802-355-7657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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