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General NPI Number Information
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NPI Number | 1902275183
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Entity Type | Individual
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Provider Name | BRISMAY CASTELLON ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 14645 NW 77TH AVE STE 104
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2569
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Country | US
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Telephone | 786-656-0428
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Fax | 786-656-0437
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Provider Business Mailing Address
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Address Line | 8821 NW 179TH LN
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City | HIALEAH
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State | FL
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Zip | 33018-6509
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Country | US
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Telephone | 305-342-0651
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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 | ARNP9261083
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License Number State | FL
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