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General NPI Number Information
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NPI Number | 1245721323
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Entity Type | Individual
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Provider Name | KRISTINE CASTANEDA NP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 12401 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 562-698-0811
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Fax |
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Provider Business Mailing Address
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Address Line | 15240 JUPITER ST
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City | WHITTIER
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State | CA
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Zip | 90603-2108
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Country | US
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Telephone | 562-447-4262
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007552
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License Number State | CA
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