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General NPI Number Information
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NPI Number | 1962955542
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Entity Type | Individual
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Provider Name | ANSON CASTELVECCHI RN
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Gender | Male
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 284 EXECUTIVE PARK DRIVE DAYMARK RECOVERY SERVICES
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City | CONCORD
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State | NC
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Zip | 28025
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Country | US
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Telephone | 704-939-1538
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Fax | 704-939-1120
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Provider Business Mailing Address
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Address Line | 2510 WEDGEWOOD DR
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City | SALISBURY
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State | NC
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Zip | 28146-7859
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Country | US
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Telephone | 704-213-7889
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Fax | 704-939-1120
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 193342
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License Number State | NC
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