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General NPI Number Information
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NPI Number | 1760264113
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Entity Type | Organization
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Legal Business Name | CASTATEHOSPITAL LLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 646 OAKSIDE PL
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City | ACWORTH
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State | GA
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Zip | 30102-8800
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Country | US
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Telephone | 916-676-5491
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Fax |
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Provider Business Mailing Address
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Address Line | 646 OAKSIDE PL
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City | ACWORTH
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State | GA
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Zip | 30102-8800
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Country | US
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Telephone | 916-676-5491
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHNATHON BEST
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Credential |
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Telephone | 916-676-5491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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