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General NPI Number Information
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NPI Number | 1184327702
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Entity Type | Individual
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Provider Name | ARLENE BENEDICTO CASTRO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 119 E 3RD AVE
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City | SELAH
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State | WA
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Zip | 98942-1498
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Country | US
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Telephone | 509-902-6062
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 FRUITVALE BLVD UNIT 19
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City | YAKIMA
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State | WA
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Zip | 98902-1154
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Country | US
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Telephone | 509-731-7070
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61319466
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License Number State | WA
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