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General NPI Number Information
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NPI Number | 1619627361
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Entity Type | Organization
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Legal Business Name | CASTEEL INTEGRATIVE PSYCH
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 3013 WOLF RD # 117
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City | WESTCHESTER
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State | IL
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Zip | 60154-5622
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Country | US
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Telephone | 708-901-3181
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Fax |
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Provider Business Mailing Address
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Address Line | 11033 TERRACE LN
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City | HILLSIDE
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State | IL
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Zip | 60162-2206
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Country | US
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Telephone | 270-872-3525
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | SHEILA CASTEEL
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Credential | APN
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Telephone | 708-901-3181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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