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General NPI Number Information
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NPI Number | 1710809512
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Entity Type | Individual
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Provider Name | RUTH NOEMY CASTILLO FNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 512 WAUGHTOWN ST
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City | WINSTON SALEM
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State | NC
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Zip | 27127-2236
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Country | US
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Telephone | 336-515-1173
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Fax | 336-792-1518
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Provider Business Mailing Address
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Address Line | 1305 SOLO DR
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City | SILER CITY
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State | NC
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Zip | 27344-1617
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Country | US
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Telephone | 336-515-1173
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Fax | 336-792-1518
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5025039
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License Number State | NC
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