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General NPI Number Information
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NPI Number | 1962668509
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Entity Type | Individual
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Provider Name | LUIS A CASTANEDA MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-493-5005
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Fax | 954-938-0957
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Provider Business Mailing Address
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Address Line | PO BOX 551420
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City | FORT LAUDERDALE
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State | FL
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Zip | 33355-1420
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Country | US
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Telephone | 800-243-3839
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Fax | 954-839-2569
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME111227
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.021932
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License Number State | OH
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