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General NPI Number Information
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NPI Number | 1710371802
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Entity Type | Individual
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Provider Name | SANDRA CASTLE LSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | SIX PATTERSON BLVD SBHI-CAM
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City | DAYTON
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State | OH
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Zip | 45402
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Country | US
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Telephone | 937-222-2204
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S EDWIN C MOSES BLVD SAMARITIAN BEHAVORIAL HEALTH,INC. 4TH FLOOR NW BUILDING
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City | DAYTON
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State | OH
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Zip | 45417-3424
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Country | US
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Telephone | 937-734-8333
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Fax | 937-734-4343
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S0009974
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License Number State | OH
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