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General NPI Number Information
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NPI Number | 1932566031
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Entity Type | Individual
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Provider Name | LAUREN M CASTRONOVO APN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 780 BAY BLVD
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City | CHULA VISTA
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State | CA
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Zip | 91910-5259
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Country | US
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Telephone | 619-842-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 10620 TREENA ST STE 230
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City | SAN DIEGO
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State | CA
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Zip | 92131-1140
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Country | US
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Telephone | 858-218-6544
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95004145
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.407813
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License Number State | IL
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