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General NPI Number Information
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NPI Number | 1083844989
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Entity Type | Individual
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Provider Name | CAMILO ANDRES CACERES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2009
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 4800 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 FRIENDSHIP AVE ATTN: EMERGENCY DEPT.
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5442
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MT195818
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD445413
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License Number State | PA
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