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General NPI Number Information
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NPI Number | 1285905372
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Entity Type | Individual
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Provider Name | YANIA CASTILLO LMT
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Gender | Female
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/20/2012
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Provider Practice Location Address
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Address Line | 3303 NW 13 TERRA 201
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City | MIAMI
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State | FL
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Zip | 33125
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Country | US
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Telephone | 786-399-4139
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Fax |
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Provider Business Mailing Address
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Address Line | 4531 NW 207TH DR
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1261
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Country | US
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Telephone | 786-399-4139
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA61082
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License Number State | FL
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