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General NPI Number Information
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NPI Number | 1073096764
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Entity Type | Individual
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Provider Name | VICTOR CAMILO RN
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Gender | Male
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/10/2018
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Provider Practice Location Address
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Address Line | 2735 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5830
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Country | US
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Telephone | 210-225-1115
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Fax | 210-225-1114
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Provider Business Mailing Address
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Address Line | 2735 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5830
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Country | US
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Telephone | 210-225-1115
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Fax | 210-225-1114
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 163WX1500X
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Taxonomy Name | Ostomy Care Registered Nurse
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License Number | 644353
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 644353
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License Number State | TX
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