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General NPI Number Information
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NPI Number | 1780336768
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Entity Type | Individual
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Provider Name | JENNIFER CASTELLO DNP, WHNP-BC, CNM
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 09/01/2024
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Provider Practice Location Address
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Address Line | 160 N MIDLAND AVE
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City | NYACK
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State | NY
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Zip | 10960-1912
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Country | US
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Telephone | 845-348-7223
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Fax |
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Provider Business Mailing Address
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Address Line | 64 PARKSIDE DR
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City | SUFFERN
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State | NY
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Zip | 10901-7828
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Country | US
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Telephone | 845-642-1107
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | FA421558-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 25ME00080301
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License Number State | NJ
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