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General NPI Number Information
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NPI Number | 1720729908
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Entity Type | Individual
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Provider Name | RAYCHEL CASTILLO DO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1299 MIDDLE COUNTRY RD
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City | MIDDLE ISLAND
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State | NY
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Zip | 11953-2515
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Country | US
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Telephone | 631-744-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD
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City | BETHPAGE
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State | NY
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Zip | 11714-3471
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Country | US
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Telephone | 646-501-3229
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 338580
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License Number State | NY
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