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General NPI Number Information
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NPI Number | 1124661251
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Entity Type | Organization
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Legal Business Name | KAMERON HEALTH PLLC
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 7521 GUADALUPE WAY
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City | MCKINNEY
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State | TX
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Zip | 75071-3389
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Country | US
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Telephone | 469-634-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 7521 GUADALUPE WAY
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City | MCKINNEY
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State | TX
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Zip | 75071-3389
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Country | US
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Telephone | 469-634-6690
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DANIELLE-MARVIS NTEZA FORTINGO
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Credential | FNP-C
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Telephone | 469-634-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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