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General NPI Number Information
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NPI Number | 1720450380
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Entity Type | Individual
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Provider Name | LEANNE MARIE CASTILLO ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2782 N COBB PKWY
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City | KENNESAW
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State | GA
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Zip | 30152-3472
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3031
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Country | US
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Telephone | 386-216-5637
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F356778
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN256506
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 986021
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License Number State | NM
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