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NPI 1669708293

NPI 1669708293 : RAPHAEL CASTRO II D.C. : PEARL RIVER, NY

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General NPI Number Information
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    NPI Number           |    1669708293
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    Entity Type          |    Individual 
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    Provider Name        |    RAPHAEL CASTRO II D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/03/2009
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    300 N MIDDLETOWN RD 
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    City                 |    PEARL RIVER
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    State                |    NY
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    Zip                  |    10965-1262
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    Country              |    US
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    Telephone            |    718-362-1411
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    Fax                  |    718-362-1651
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Provider Business Mailing Address
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    Address Line         |    612 CORPORATE WAY STE 2M 
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    City                 |    VALLEY COTTAGE
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    State                |    NY
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    Zip                  |    10989-2027
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    Country              |    US
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    Telephone            |    718-362-1411
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    Fax                  |    718-362-1651
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    X011743-1
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    License Number State |    NY
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