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NPI 1740504786

NPI 1740504786 : JANIRA CASTILLO PLAYA SOCIAL WORK : JUANA DIAZ, PR

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General NPI Number Information
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    NPI Number           |    1740504786
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    Entity Type          |    Individual 
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    Provider Name        |    JANIRA CASTILLO PLAYA SOCIAL WORK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/19/2010
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    Last Update Date     |    11/02/2023
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Provider Practice Location Address
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    Address Line         |    HC 3 BOX 11286 
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    City                 |    JUANA DIAZ
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    State                |    PR
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    Zip                  |    00795-9553
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    Country              |    US
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    Telephone            |    787-546-4699
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    HC 3 BOX 11286 
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    City                 |    JUANA DIAZ
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    State                |    PR
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    Zip                  |    00795-9553
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    Country              |    US
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    Telephone            |    939-222-2090
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    9508
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    License Number State |    PR
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