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General NPI Number Information
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NPI Number | 1912261868
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Entity Type | Individual
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Provider Name | DANNA SMITH CASTLEMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2012
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 22 2ND AVE
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City | HUNTINGDON
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State | TN
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Zip | 38344-3806
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Country | US
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Telephone | 731-422-0213
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Fax | 731-868-4766
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | JACKSON
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State | TN
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Zip | 38302-0400
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Country | US
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Telephone | 731-425-5752
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Fax | 731-425-5783
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2440
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License Number State | TN
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