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General NPI Number Information
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NPI Number | 1912327370
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Entity Type | Individual
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Provider Name | RITO CASTANEDA CHT
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Gender | Male
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 13140 CENTRAL AVE SE SUITE L
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-5547
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Country | US
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Telephone | 505-550-0917
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 PIERMONT DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3456
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Country | US
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Telephone |
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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