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General NPI Number Information
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NPI Number | 1902140965
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Entity Type | Individual
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Provider Name | MARIA J CASTILLO ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 6115 BURDEN BLVD STE D
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City | PASCO
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State | WA
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Zip | 99301-0010
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Country | US
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Telephone | 509-488-5256
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Fax | 509-488-9939
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Provider Business Mailing Address
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Address Line | 1515 E COLUMBIA ST
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City | OTHELLO
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State | WA
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Zip | 99344-1846
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Country | US
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Telephone | 509-488-5256
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Fax | 509-488-9939
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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 | AP60111167
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License Number State | WA
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