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General NPI Number Information
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NPI Number | 1669284857
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Entity Type | Individual
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Provider Name | DENISE CAROLINA ELVIR CASTELLANOS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1400 E OAKLAND PARK BLVD STE 210
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4400
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Country | US
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Telephone | 954-561-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 7261 SHERIDAN ST STE 340
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2726
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Country | US
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Telephone | 954-561-6222
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Fax | 954-990-7650
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH27073
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License Number State | FL
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