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General NPI Number Information
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NPI Number | 1407132806
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Entity Type | Individual
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Provider Name | MICHAEL D. CASTRILLI L.M.H.C., C.A.P.
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Gender | Male
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Dates
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Enumeration Date | 10/29/2011
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Last Update Date | 10/29/2011
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Provider Practice Location Address
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Address Line | 235 CITRUS TOWER BLVD SUITE 107
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City | CLERMONT
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State | FL
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Zip | 34711-2712
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Country | US
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Telephone | 352-404-8921
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Fax | 352-404-8922
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Provider Business Mailing Address
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Address Line | 235 CITRUS TOWER BLVD SUITE 107
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City | CLERMONT
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State | FL
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Zip | 34711-2712
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Country | US
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Telephone | 352-404-8921
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Fax | 352-404-8922
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH9741
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License Number State | FL
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