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General NPI Number Information
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NPI Number | 1174493936
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Entity Type | Individual
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Provider Name | ANA B CAMACHO
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 15291 NW 60TH AVE STE 101
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2459
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Country | US
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Telephone | 305-705-7702
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 NW 191ST TER
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-2237
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Country | US
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Telephone | 786-803-7531
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI8354
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License Number State | FL
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