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General NPI Number Information
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NPI Number | 1821815242
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Entity Type | Individual
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Provider Name | NAIMI CASTILLO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 13127 VAIL RIDGE DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7196
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Country | US
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Telephone | 813-661-6199
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 W ELM ST
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City | TAMPA
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State | FL
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Zip | 33614-3629
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Country | US
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Telephone | 813-998-4495
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F09240542
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License Number State | FL
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