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General NPI Number Information
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NPI Number | 1386104230
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Entity Type | Individual
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Provider Name | GEMA CASTELLON
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 27186 NEWPORT RD STE D4
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City | MENIFEE
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State | CA
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Zip | 92584-7386
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Country | US
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Telephone | 951-800-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 34016 WALNUT CREEK RD.
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City | WIDOMAR
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State | CA
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Zip | 92595
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Country | US
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Telephone | 951-746-4578
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 712141
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 95030915
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030915
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License Number State | CA
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