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General NPI Number Information
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NPI Number | 1598487076
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Entity Type | Individual
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Provider Name | MARLENA BARRI CASTRO MS, RD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A NUTRITION DEPARTMENT
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-924-3859
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 FLEMMING ST APT A
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City | YUMA
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State | AZ
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Zip | 85365-6432
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Country | US
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Telephone | 504-275-7590
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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