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General NPI Number Information
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NPI Number | 1821002700
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Entity Type | Individual
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Provider Name | DANIEL CASTRO MD
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2231 SANDSTONE DR
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City | MORRISTOWN
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State | TN
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Zip | 37814-2593
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Country | US
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Telephone | 423-616-0625
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Fax | 423-616-0150
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Provider Business Mailing Address
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Address Line | 31165 DANELAW AVE
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City | REDLANDS
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State | CA
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Zip | 92373-7419
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Country | US
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Telephone | 909-389-9196
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD0000056844
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD0000056844
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD0000056844
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License Number State | TN
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