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General NPI Number Information
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NPI Number | 1609571827
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Entity Type | Individual
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Provider Name | BLANCA ANGELICA CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 8052 WESTMINSTER BLVD
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City | WESTMINSTER
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State | CA
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Zip | 92683-3303
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Country | US
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Telephone | 714-896-9589
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Fax |
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Provider Business Mailing Address
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Address Line | 9732 GUINIDA LN
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City | ANAHEIM
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State | CA
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Zip | 92804-5335
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Country | US
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Telephone | 714-606-5233
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN219563
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License Number State | CA
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