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General NPI Number Information
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NPI Number | 1982871091
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Entity Type | Individual
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Provider Name | MADI E CASTILLO MS, SLP/ CCC-A
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Gender | Female
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 1011 S TEXAS 6 SUITE 311
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City | HOUSTON
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State | TX
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Zip | 77077-7749
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Country | US
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Telephone | 917-731-8140
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Fax |
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Provider Business Mailing Address
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Address Line | 23210 WILLOW CANYON DR
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City | KATY
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State | TX
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Zip | 77494-3526
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Country | US
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Telephone | 917-731-8140
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD000109
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 111957
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License Number State | TX
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