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General NPI Number Information
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NPI Number | 1700372158
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Entity Type | Individual
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Provider Name | ARLENE CASTILLO MS
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 9033 BASELINE RD. SUITE 5
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1214
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Country | US
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Telephone | 909-989-9030
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Fax | 909-466-4594
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Provider Business Mailing Address
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Address Line | 711 KENWOOD STREET
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City | UPLAND
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State | CA
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Zip | 91784-0800
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Country | US
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Telephone | 909-989-9030
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Fax | 909-466-4594
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 99945
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 107466
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License Number State |
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