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General NPI Number Information
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NPI Number | 1942236872
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Entity Type | Individual
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Provider Name | DANIA CASTELLANO OWNER
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Gender | Female
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4343 WEST FLEGLER ST #507
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-648-0832
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Fax | 305-648-0833
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Provider Business Mailing Address
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Address Line | 1567 SE 20TH RD
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City | HOMESTEAD
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State | FL
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Zip | 33035
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Country | US
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Telephone | 305-380-1046
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 23-8013601488-4
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License Number State | FL
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