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General NPI Number Information
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NPI Number | 1679747802
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Entity Type | Individual
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Provider Name | DANIEL J CASTILLO DMD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 10625 N MILITARY TRL SUITE 202
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6564
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Country | US
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Telephone | 561-691-6061
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Fax | 561-691-6062
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Provider Business Mailing Address
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Address Line | 10625 NORTH MILITARY TRL SUITE 202
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-6564
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Country | US
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Telephone | 561-691-6061
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Fax | 561-691-6062
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 650792901
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License Number State | NJ
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