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General NPI Number Information
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NPI Number | 1174944235
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Entity Type | Individual
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Provider Name | JENNIFER MARIE CAMERON CNM
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Gender | Female
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Dates
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Enumeration Date | 12/17/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 110 WASHINGTON ST
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City | MANISTEE
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State | MI
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Zip | 49660-1233
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Country | US
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Telephone | 231-299-3014
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Fax | 231-299-3025
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Provider Business Mailing Address
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Address Line | 110 WASHINGTON ST
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City | MANISTEE
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State | MI
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Zip | 49660-1233
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Country | US
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Telephone | 231-299-3014
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Fax | 231-299-3025
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704196999
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License Number State | MI
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