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General NPI Number Information
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NPI Number | 1013125582
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Entity Type | Individual
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Provider Name | ROGER LOUIS CAMBOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2001 PROVIDENCE AVE
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City | CHESTER
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State | PA
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Zip | 19013-5504
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Country | US
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Telephone | 610-876-9000
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Fax | 484-490-0116
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Provider Business Mailing Address
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Address Line | 206 STEPNEY PL
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City | NARBERTH
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State | PA
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Zip | 19072-1610
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Country | US
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Telephone | 720-470-3802
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40248
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 40428
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License Number State | CO
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