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General NPI Number Information
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NPI Number | 1881615771
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Entity Type | Organization
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Legal Business Name | CASTLEROCK, INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 07/05/2008
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Provider Practice Location Address
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Address Line | 10 E NEW YORK AVE SUITE 2
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2367
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Country | US
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Telephone | 609-926-2021
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Fax | 609-926-2022
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Provider Business Mailing Address
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Address Line | 10 E NEW YORK AVE SUITE 2
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2367
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Country | US
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Telephone | 609-926-2021
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Fax | 609-926-2022
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Authorized Official
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Title or Position | OWNER
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Name | M. KATHERINE DOWD
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Credential | M.D.
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Telephone | 609-926-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA04583300
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License Number State | NJ
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