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General NPI Number Information
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NPI Number | 1730416777
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Entity Type | Organization
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Legal Business Name | CASTLE THERAPY, LLC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 169 TEQUESTA DR SUITE 24 E
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City | TEQUESTA
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State | FL
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Zip | 33469-2768
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Country | US
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Telephone | 561-747-8188
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Fax | 561-747-8388
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Provider Business Mailing Address
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Address Line | 8825 SE LONGVIEW DR
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City | HOBE SOUND
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State | FL
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Zip | 33455-7420
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Country | US
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Telephone | 561-747-8188
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Fax | 561-747-8388
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Authorized Official
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Title or Position | OWNER MGRM
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Name | MRS. REMAI JACQUELINE ECKHARDT
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Credential | M.S., CCC-SLP
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Telephone | 561-747-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | Z125C
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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