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NPI 1225436926

NPI 1225436926 : HOLLY CASTLE N.D. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1225436926
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    Entity Type          |    Individual 
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    Provider Name        |    HOLLY CASTLE N.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/11/2014
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    Last Update Date     |    01/18/2017
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Provider Practice Location Address
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    Address Line         |    10563 E BAHIA DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-2458
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    Country              |    US
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    Telephone            |    480-205-6733
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 28518 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255-0158
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    Country              |    US
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    Telephone            |    480-205-6733
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    01-609
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    License Number State |    AZ
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