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General NPI Number Information
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NPI Number | 1740223072
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Entity Type | Individual
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Provider Name | FABIO ARTURO CASTRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19495 BISCAYNE BLVD SUITE 200
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City | AVENTURA
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State | FL
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Zip | 33180-2318
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Country | US
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Telephone | 305-932-9877
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Fax | 305-932-2098
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Provider Business Mailing Address
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Address Line | 10700 INDIAN TRL
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City | FT LAUDERDALE
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State | FL
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Zip | 33328-5507
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Country | US
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Telephone | 954-252-3305
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME87481
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License Number State | FL
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