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General NPI Number Information
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NPI Number | 1568911030
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Entity Type | Individual
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Provider Name | TIFFANY L CASTLEMAN LPC, EDD
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 501 S LINCOLN AVE STE 24
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City | CLEARWATER
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State | FL
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Zip | 33756-5964
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Country | US
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Telephone | 727-382-3452
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Fax |
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Provider Business Mailing Address
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Address Line | 39650 US HIGHWAY 19 N APT 1012
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3952
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Country | US
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Telephone | 816-799-8236
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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 | 2564
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License Number State | KS
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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 | 2011017577
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C6322
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH19187
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License Number State | FL
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