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General NPI Number Information
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NPI Number | 1730955113
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Entity Type | Organization
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Legal Business Name | CASTHELY ORTHODONTICS AND DENTAL LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 160 NE 82ND ST
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City | MIAMI
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State | FL
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Zip | 33138-3708
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Country | US
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Telephone | 305-756-7602
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NE MIAMI GARDENS DR STE 101
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City | MIAMI
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State | FL
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Zip | 33179-4843
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Country | US
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Telephone | 305-940-4911
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Fax | 305-940-4911
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FRANCK- LUCIE CASTHELY
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Credential | DMD, MPH, MS
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Telephone | 305-940-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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