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General NPI Number Information
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NPI Number | 1649750951
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Entity Type | Individual
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Provider Name | MARIO CASTRO MEDINA MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | UPMC CHILDRENS HOSPITAL OF PITTSBURGH 4401 PENN AVENUE FACULTY PAVILLION 5TH FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone | 412-692-5218
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Fax | 412-692-5817
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Provider Business Mailing Address
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Address Line | UPMC CHILDRENS HOSPITAL OF PITTSBURGH 4401 PENN AVENUE FACULTY PAVILLION 5TH FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15224
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Country | US
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Telephone | 412-692-5218
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Fax | 412-692-5817
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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 | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number | MD465293
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD465293
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD465293
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License Number State | PA
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