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General NPI Number Information
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NPI Number | 1750633749
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Entity Type | Organization
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Legal Business Name | FLAVIO CASTANEDA MD PA
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 6010 MCPHERSON RD SUITE 200
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City | LAREDO
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State | TX
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Zip | 78041-6206
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Country | US
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Telephone | 956-727-2362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2956
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City | SAN ANTONIO
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State | TX
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Zip | 78299-2956
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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 | OWNER
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Name | DR. FLAVIO CASTANEDA
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Credential | M.D.
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Telephone | 956-727-2362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | TX
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