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General NPI Number Information
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NPI Number | 1689915936
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Entity Type | Individual
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Provider Name | NOEL CASTANEDA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 3526 NE 9TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-5553
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Country | US
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Telephone | 575-288-5651
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Fax |
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Provider Business Mailing Address
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Address Line | 8040 NW 155 STREET
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City | HOMESTEAD
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State | FL
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Zip | 33033
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Country | US
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Telephone | 305-827-2822
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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