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General NPI Number Information
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NPI Number | 1891274171
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Entity Type | Organization
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Legal Business Name | STEVEN CASTRO
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 10806 RIVES AVE
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City | MC KENNEY
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State | VA
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Zip | 23872-2041
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Country | US
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Telephone | 804-467-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 W HUNDRED RD
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City | CHESTER
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State | VA
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Zip | 23831-2126
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Country | US
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Telephone | 804-467-5081
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Fax |
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Authorized Official
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Title or Position | DR
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Name | STEVEN CASTRO
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Credential |
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Telephone | 804-467-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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