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General NPI Number Information
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NPI Number | 1285084848
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Entity Type | Individual
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Provider Name | MS. MARIA SELENE CASTORENA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 13001 RAMONA BLVD STE I
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City | IRWINDALE
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State | CA
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Zip | 91706-3752
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Country | US
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Telephone | 626-337-3828
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Fax | 626-960-4163
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Provider Business Mailing Address
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Address Line | 13001 RAMONA BLVD STE I
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City | IRWINDALE
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State | CA
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Zip | 91706-3752
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Country | US
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Telephone | 626-337-3828
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW131017
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License Number State | CA
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