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General NPI Number Information
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NPI Number | 1154351369
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Entity Type | Individual
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Provider Name | ROB JOSEPH KAMERMANS MD
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Gender | Male
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 N DR MARTIN LUTHER KING JR BLVD
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City | CLOVIS
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State | NM
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Zip | 88101-9412
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Country | US
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Telephone | 505-769-7153
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Fax | 505-769-7337
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Provider Business Mailing Address
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Address Line | 1612 N GUADALUPE ST
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City | CARLSBAD
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State | NM
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Zip | 88220-8812
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Country | US
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Telephone | 505-887-2188
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 93-294
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License Number State | NM
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