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General NPI Number Information
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NPI Number | 1568599967
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Entity Type | Individual
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Provider Name | JAYNE LORI CASTANZA MA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 5664 SW 60TH AVE
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City | OCALA
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State | FL
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Zip | 34474-5677
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Country | US
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Telephone | 352-302-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 43 S MELBOURNE ST
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3730
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Country | US
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Telephone | 352-302-9523
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 |
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License Number State | FL
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