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General NPI Number Information
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NPI Number | 1053466276
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Entity Type | Individual
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Provider Name | RODRIGO T CAMACHO APRN
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 124 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 501-623-7800
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Fax | 833-398-2051
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Provider Business Mailing Address
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Address Line | 124 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 501-623-7800
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Fax | 833-398-2051
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A02909
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License Number State | AR
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