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General NPI Number Information
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NPI Number | 1528735958
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Entity Type | Individual
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Provider Name | MICHELLE TERESA DEL CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 9425 SW 72ND ST STE 225
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City | MIAMI
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State | FL
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Zip | 33173-5494
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Country | US
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Telephone | 786-953-8389
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Fax |
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Provider Business Mailing Address
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Address Line | 16067 SW 101ST TER
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City | MIAMI
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State | FL
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Zip | 33196-6162
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Country | US
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Telephone | 305-753-8314
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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