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General NPI Number Information
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NPI Number | 1154469641
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Entity Type | Individual
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Provider Name | MR. DAVID LEE CAMP
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6111 PEACHTREE DUNWOODY RD NE STE A101
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-4577
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Country | US
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Telephone | 770-393-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 1452 OAK SPRINGS DR
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City | MARIETTA
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State | GA
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Zip | 30066-3969
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Country | US
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Telephone | 770-565-4481
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 09532
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License Number State | GA
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