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General NPI Number Information
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NPI Number | 1386459337
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Entity Type | Individual
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Provider Name | MARTHA RYAN-CASTRO IHP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 11593 S FORTUNA RD STE B
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City | YUMA
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State | AZ
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Zip | 85367-7807
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Country | US
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Telephone | 928-342-8750
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Fax |
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Provider Business Mailing Address
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Address Line | 17510 S AVENUE B
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City | SOMERTON
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State | AZ
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Zip | 85350-8204
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Country | US
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Telephone | 928-580-1971
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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