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General NPI Number Information
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NPI Number | 1841814068
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Entity Type | Individual
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Provider Name | JOSE ALEJANDRO CASTELLANOS MONROY MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 537 NATOMA ST UNIT 201
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2685
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Country | US
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Telephone | 786-510-9186
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A183705
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | A183705
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License Number State | CA
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