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General NPI Number Information
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NPI Number | 1710793781
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Entity Type | Individual
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Provider Name | TATIANA CASTRO SLP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2450 SW 137TH AVE STE 221
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City | MIAMI
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State | FL
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Zip | 33175-6332
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Country | US
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Telephone | 786-720-6918
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Fax |
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Provider Business Mailing Address
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Address Line | 11800 SW 18TH ST APT 227
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City | MIAMI
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State | FL
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Zip | 33175-1657
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Country | US
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Telephone | 786-521-3776
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ12435
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License Number State | FL
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