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General NPI Number Information
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NPI Number | 1730044181
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Entity Type | Individual
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Provider Name | ELSA CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 621 W LA SALLE ST
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City | CRYSTAL CITY
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State | TX
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Zip | 78839-4109
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Country | US
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Telephone | 830-694-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 621 W LA SALLE ST
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City | CRYSTAL CITY
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State | TX
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Zip | 78839-4109
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Country | US
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Telephone |
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 1005321
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License Number State | TX
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