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General NPI Number Information
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NPI Number | 1639366289
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Entity Type | Organization
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Legal Business Name | JORGE L CASTRIZ M.D.L.L.C.
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 3370 BURNS RD STE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4327
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Country | US
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Telephone | 561-627-6600
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Fax | 561-627-3222
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Provider Business Mailing Address
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Address Line | 3370 BURNS RD STE 103
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4327
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Country | US
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Telephone | 561-627-6600
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Fax | 561-627-3222
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Authorized Official
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Title or Position | BILLER
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Name | MRS. DEISY C SANCHEZ
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Credential |
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Telephone | 561-627-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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