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General NPI Number Information
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NPI Number | 1003777541
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Entity Type | Individual
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Provider Name | NOEMI CASTILLO-MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 525 TECHNOLOGY PARK STE 109
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City | LAKE MARY
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State | FL
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Zip | 32746-7107
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Country | US
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Telephone | 813-420-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 120 OAKBROOK LN
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City | PLANT CITY
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State | FL
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Zip | 33563-4592
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Country | US
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Telephone | 813-420-1580
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5258076
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License Number State | FL
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