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NPI Code Detail

MEDICARE: CAMERON SMITH

MEDICARE: CAMERON SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1821537762
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON SMITH
Provider Business Mailing Address
First Line : 1539 25TH S.T S.E
Second Line :
City : WASHINGTON
State : DC
Zip : 20020
Country : US
Telephone Number : 703-589-0724
Fax Number :
Provider Business Practice Location Address
First Line : 1539 25TH S.T S.E
Second Line :
City : WASHINGTON
State : DC
Zip : 20020
Country : US
Telephone Number : 703-589-0724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 02/13/2017

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Directions to “ CAMERON SMITH ” Practice Location

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