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General NPI Number Information
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NPI Number | 1962822684
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Entity Type | Individual
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Provider Name | ALEXANDER CHASE CASTILLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 1100 E DOVE AVE STE 400
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City | MCALLEN
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State | TX
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Zip | 78504-4672
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Country | US
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Telephone | 956-362-8160
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Fax | 956-362-8169
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Provider Business Mailing Address
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Address Line | PO BOX 749
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City | PHARR
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State | TX
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Zip | 78577-1614
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Country | US
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Telephone | 956-362-8160
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Fax | 956-362-8169
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | T1314
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | BP10050299
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | T1314
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License Number State | TX
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