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General NPI Number Information
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NPI Number | 1770825481
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Entity Type | Individual
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Provider Name | ARACELY CASTILLO HERNANDEZ L.P.C., L.C.D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 514 CAMPANARIO LN
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City | LAREDO
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State | TX
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Zip | 78043-5103
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Country | US
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Telephone | 956-744-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 514 CAMPANARIO LN
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City | LAREDO
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State | TX
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Zip | 78043-5103
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Country | US
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Telephone | 956-744-2879
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10932
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66907
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License Number State | TX
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