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General NPI Number Information
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NPI Number | 1164183745
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Entity Type | Individual
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Provider Name | MADELINE CAMEJO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 14701 NW 77TH AVE STE 204
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2500
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Country | US
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Telephone | 954-257-1208
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Fax | 786-576-0412
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Provider Business Mailing Address
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Address Line | 1601 N 28TH CT
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City | HOLLYWOOD
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State | FL
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Zip | 33020-2942
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Country | US
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Telephone | 954-257-1208
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS32528
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License Number State | FL
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