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General NPI Number Information
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NPI Number | 1225725922
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Entity Type | Individual
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Provider Name | CAMERON RAY CASSIDY RRT
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Gender | Male
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 555 WASHINGTON ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-2289
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Country | US
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Telephone | 619-260-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 10144 MARCELLA CT
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City | SANTEE
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State | CA
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Zip | 92071-1062
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Country | US
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Telephone | 619-252-9975
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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