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General NPI Number Information
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NPI Number | 1144517368
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Entity Type | Individual
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Provider Name | OLGA CASTILLO LA FE
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Gender | Female
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 19570 NW 55TH CIRCLE PL
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-6185
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Country | US
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Telephone | 305-890-0794
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Fax |
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Provider Business Mailing Address
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Address Line | 19570 NW 55TH CIRCLE PL
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-6185
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Country | US
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Telephone | 305-890-0794
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Fax | 305-573-6888
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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