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General NPI Number Information
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NPI Number | 1912598202
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Entity Type | Individual
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Provider Name | DANIELA CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 6607 S IH 35 FRONTAGE RD
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City | AUSTIN
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State | TX
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Zip | 78744
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Country | US
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Telephone | 512-442-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 WAGON CROSSING PATH
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City | AUSTIN
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State | TX
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Zip | 78744-3531
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Country | US
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Telephone | 512-298-9025
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 30090609
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License Number State | TX
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