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General NPI Number Information
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NPI Number | 1215760988
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Entity Type | Individual
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Provider Name | CECELIA CAMERON LMSW- LSSW
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 601 CUMBERLAND ST
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City | CHATTANOOGA
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State | TN
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Zip | 37404-1922
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Country | US
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Telephone | 423-266-6751
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Fax |
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Provider Business Mailing Address
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Address Line | 200 TECH CENTER DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-2747
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Country | US
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Telephone | 865-637-9711
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 000748937
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 15306
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License Number State | TN
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