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General NPI Number Information
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NPI Number | 1558020149
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Entity Type | Individual
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Provider Name | DR. KATIANA NICOLE CASTILLO-CAMARENO
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Gender | Female
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Dates
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Enumeration Date | 12/11/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | CALLE MONTALVA #23
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City | ENSENADA
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State | PR
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Zip | 00647
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Country | US
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Telephone | 787-821-3377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 994
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City | BOQUERON
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State | PR
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Zip | 00622-0994
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Country | US
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Telephone | 787-951-0880
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 6964
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License Number State | PR
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