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General NPI Number Information
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NPI Number | 1194681726
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Entity Type | Individual
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Provider Name | CELENE CASTELLANOS RN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 13375 W MCDOWELL RD STE 108
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City | GOODYEAR
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State | AZ
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Zip | 85395-2639
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Country | US
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Telephone | 801-433-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 290N S 192ND DR
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City | BUCKEYE
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State | AZ
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Zip | 85326-2864
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Country | US
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Telephone | 801-433-7893
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 309846
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License Number State | AZ
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