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General NPI Number Information
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NPI Number | 1578376331
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Entity Type | Individual
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Provider Name | FELISA L CASTLE
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 461 ELLIS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32317-9571
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Country | US
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Telephone | 850-254-5278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | HAVANA
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State | FL
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Zip | 32333-0488
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Country | US
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Telephone | 850-321-6322
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | L24000484108
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | L24000484108
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License Number State | FL
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