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General NPI Number Information
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NPI Number | 1245673177
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Entity Type | Individual
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Provider Name | CLAIRE ITCHON CAMUA NP-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 555 S SUNRISE WAY STE 217
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City | PALM SPRINGS
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State | CA
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Zip | 92264-7869
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Country | US
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Telephone | 760-799-5464
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Fax | 855-300-7206
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Provider Business Mailing Address
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Address Line | 3020 E VISTA CHINO
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5454
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Country | US
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Telephone | 760-799-5464
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22831
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License Number State | CA
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