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General NPI Number Information
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NPI Number | 1821872227
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Entity Type | Individual
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Provider Name | ROXANNE CASTELLANOS DPT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 2146 N 72ND TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1042
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Country | US
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Telephone | 954-257-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 19116 SW 25TH CT
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City | MIRAMAR
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State | FL
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Zip | 33029-2503
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Country | US
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Telephone | 305-283-3374
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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