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General NPI Number Information
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NPI Number | 1750400347
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Entity Type | Individual
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Provider Name | MELISSA CASTRO
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 10221 COMPTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90002-2802
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Country | US
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Telephone | 213-385-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 3365 KEYSTONE AVE APT 4
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City | LOS ANGELES
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State | CA
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Zip | 90034-8107
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Country | US
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Telephone | 510-375-9029
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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