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General NPI Number Information
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NPI Number | 1811456015
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Entity Type | Individual
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Provider Name | RICHMOND CASTILLO MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 1310 SOUTHERN AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20032-4623
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Country | US
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Telephone | 202-574-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 777 N MICHIGAN AVE APT 3806
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City | CHICAGO
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State | IL
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Zip | 60611-6646
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Country | US
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Telephone | 201-988-2828
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 125.073855
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD210011571
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License Number State | DC
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