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General NPI Number Information
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NPI Number | 1497880785
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Entity Type | Individual
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Provider Name | IRIS CASTRO LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 8803 VISTANA CENTRE DR
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City | ORLANDO
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State | FL
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Zip | 32821-6354
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Country | US
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Telephone | 413-301-6019
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Fax | 413-363-2857
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Provider Business Mailing Address
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Address Line | 124 OVERLOOK DR
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-4525
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Country | US
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Telephone | 413-335-9908
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 113914
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18892
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License Number State | FL
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