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General NPI Number Information
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NPI Number | 1790774438
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Entity Type | Individual
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Provider Name | MARLENE M KASTRINOS PHD, LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/16/2005
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 9408 SW 87TH AVE STE 102
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City | MIAMI
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State | FL
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Zip | 33176-2416
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Country | US
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Telephone | 833-769-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 9380 SW 72 ST SUITE B 238
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City | MIAMI
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State | FL
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Zip | 33173-5489
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Country | US
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Telephone | 305-667-2430
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Fax | 305-271-6773
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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 | SW5884
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License Number State | FL
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