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General NPI Number Information
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NPI Number | 1992015705
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Entity Type | Individual
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Provider Name | KALY CASTELLANOS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 7950 NW 53RD ST UNIT 114
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City | MIAMI
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State | FL
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Zip | 33166
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Country | US
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Telephone | 305-322-9029
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Fax | 786-329-6472
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Provider Business Mailing Address
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Address Line | 845 SW 174TH TERRACE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029
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Country | US
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Telephone | 786-768-3980
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Fax | 305-558-6080
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | MA46118
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11001910
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License Number State | FL
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