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General NPI Number Information
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NPI Number | 1093361867
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Entity Type | Organization
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Legal Business Name | CAMERON MEDICAL OUTREACH, INC
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 306 E MAUMEE ST STE 106
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City | ANGOLA
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State | IN
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Zip | 46703-2038
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Country | US
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Telephone | 260-667-5645
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Fax | 260-667-5644
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Provider Business Mailing Address
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Address Line | 306 E MAUMEE ST STE 106
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City | ANGOLA
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State | IN
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Zip | 46703-2038
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Country | US
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Telephone | 260-667-5645
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Fax | 260-667-5644
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Authorized Official
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Title or Position | DIRECTOR OF OUTPATIENT PHARMACY
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Name | HANNAH DENNEY
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Credential |
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Telephone | 260-667-5645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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