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General NPI Number Information
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NPI Number | 1831662972
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Entity Type | Individual
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Provider Name | GERARDO CASTILLO PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 909 E ESPERANZA AVE STE B
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City | MCALLEN
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State | TX
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Zip | 78501-1453
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Country | US
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Telephone | 956-627-4874
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Fax | 956-329-2931
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | PHARR
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State | TX
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Zip | 78577-1609
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Country | US
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Telephone | 956-627-4874
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP136881
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License Number State | TX
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