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General NPI Number Information
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NPI Number | 1821843723
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Entity Type | Individual
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Provider Name | SASHA MARIE CASTIGLIONE PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 4485 FURLING LN
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City | DESTIN
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State | FL
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Zip | 32541-5331
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Country | US
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Telephone | 850-654-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 160 16TH ST N UNIT 912
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-1696
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Country | US
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Telephone | 435-772-5458
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 9118740
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License Number State | FL
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