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General NPI Number Information
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NPI Number | 1629966841
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Entity Type | Individual
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Provider Name | TILZA EDITH CASTILLO
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 16710 DONMETZ ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4229
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Country | US
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Telephone | 818-388-7974
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Fax |
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Provider Business Mailing Address
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Address Line | 522 E MAIN ST
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City | SAN GABRIEL
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State | CA
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Zip | 91776-2538
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Country | US
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Telephone | 323-383-4471
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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