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General NPI Number Information
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NPI Number | 1952296253
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Entity Type | Individual
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Provider Name | KYLEE VICTORIA CASTRO APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2601 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34239-4504
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Country | US
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Telephone | 941-925-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 3209 38TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-7230
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Country | US
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Telephone | 207-299-5165
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 03250550
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License Number State | FL
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