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General NPI Number Information
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NPI Number | 1518813112
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Entity Type | Individual
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Provider Name | LESLIE YESSENIA CASTILLO-ORTIZ DC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 2430 S ATLANTIC AVE STE C
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-5419
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Country | US
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Telephone | 650-580-8449
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N SWALLOW TAIL DR APT 2305
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City | PORT ORANGE
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State | FL
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Zip | 32129-4159
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15822
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License Number State | FL
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