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General NPI Number Information
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NPI Number | 1033933270
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Entity Type | Individual
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Provider Name | CHRISTINA IESHA CAMERON RN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 4597 LONESOME PINE DR
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City | MONTGOMERY
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State | AL
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Zip | 36108-4821
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Country | US
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Telephone | 334-530-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 4597 LONESOME PINE DR
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City | MONTGOMERY
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State | AL
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Zip | 36108-4821
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Country | US
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Telephone | 334-530-2488
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1-153122
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 1-153122
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number | 1-153122
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 1-153122
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 1-153122
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1-153122
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License Number State | AL
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