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General NPI Number Information
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NPI Number | 1710647730
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Entity Type | Individual
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Provider Name | WHITNEY CASTRO
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Gender | Female
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 7271 SILK TREE POINTE
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City | BRASELTON
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State | GA
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Zip | 30517-3464
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Country | US
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Telephone | 912-515-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 189 SCALES CREEK RD
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City | HOMER
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State | GA
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Zip | 30547-1925
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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