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General NPI Number Information
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NPI Number | 1124789201
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Entity Type | Individual
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Provider Name | MARIAM CASTANEDA DNP
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Gender | Female
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Dates
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Enumeration Date | 12/31/2021
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 171 W LOWRY LN STE 180
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City | LEXINGTON
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State | KY
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Zip | 40503-3006
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Country | US
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Telephone | 502-632-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 MILLENIA BLVD STE 650
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City | ORLANDO
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State | FL
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Zip | 32839-6013
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Country | US
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Telephone | 407-408-3862
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11017039
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License Number State | FL
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