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General NPI Number Information
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NPI Number | 1215986906
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Entity Type | Individual
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Provider Name | ROLANDO CASTILLO LMHC
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Gender | Male
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 3621 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3636
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Country | US
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Telephone | 305-608-3383
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Fax | 786-534-7118
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Provider Business Mailing Address
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Address Line | 4544 SW 132ND CT
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City | MIAMI
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State | FL
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Zip | 33175-3948
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Country | US
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Telephone | 305-775-6634
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 6329
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License Number State | FL
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