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General NPI Number Information
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NPI Number | 1184449613
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Entity Type | Individual
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Provider Name | KAMERON MITCHELL CPO
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Gender | Male
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5505 COVENTRY LN
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City | FORT WAYNE
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State | IN
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Zip | 46804-7144
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Country | US
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Telephone | 317-522-6380
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Fax |
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Provider Business Mailing Address
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Address Line | 3236 COPPER HILL RUN
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City | FORT WAYNE
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State | IN
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Zip | 46804-3425
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Country | US
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Telephone | 320-333-6389
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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