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General NPI Number Information
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NPI Number | 1114159068
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Entity Type | Individual
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Provider Name | KAMARA MARIE DODD FNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 644 RAY LN
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City | ASHLAND
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State | OR
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Zip | 97520-2466
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Country | US
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Telephone | 541-404-4485
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Fax | 541-225-4884
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Provider Business Mailing Address
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Address Line | 644 RAY LN
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City | ASHLAND
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State | OR
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Zip | 97520-2466
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Country | US
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Telephone | 541-404-4481
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Fax | 541-225-4884
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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 | APRN1836
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200950101NP FNP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 200950101NP FNP-PP
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License Number State | OR
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