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General NPI Number Information
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NPI Number | 1619864535
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Entity Type | Individual
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Provider Name | MAEGAN CASTLE
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 53-59 PUBLIC SQ STE 301
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City | WATERTOWN
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State | NY
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Zip | 13601-2674
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Country | US
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Telephone | 315-782-2141
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39
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City | BELLEVILLE
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State | NY
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Zip | 13611-0039
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Country | US
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Telephone | 315-783-0640
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F357005-01
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License Number State | NY
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