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NPI 1093267395

NPI 1093267395 : CASEY NOELLE CAMARGO PT, DPT, LAT, ATC : ARDEN, NC

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General NPI Number Information
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    NPI Number           |    1093267395
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY NOELLE CAMARGO PT, DPT, LAT, ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2016
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    2585 HENDERSONVILLE RD 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-9577
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    Country              |    US
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    Telephone            |    828-258-8800
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    Fax                  |    828-651-0026
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5105 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-5100
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    Country              |    US
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    Telephone            |    828-258-8800
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    Fax                  |    828-651-0026
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    P24055
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    LAT-4806
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    License Number State |    NC
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