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General NPI Number Information
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NPI Number | 1457628604
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Entity Type | Individual
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Provider Name | YOHAIRA M CASTILLO MA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2101 VISTA PKWY STE 270
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2706
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Country | US
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Telephone | 561-856-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 15284 64TH PL N
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-4535
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Country | US
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Telephone | 561-856-5620
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH17217
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License Number State | FL
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