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NPI 1255748968

NPI 1255748968 : CAMERON M BANKS D.C. : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1255748968
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON M BANKS D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/14/2014
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    8730 FOUNTAIN AVE 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33615-2802
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    Country              |    US
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    Telephone            |    813-885-6001
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    Fax                  |    813-885-6874
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Provider Business Mailing Address
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    Address Line         |    9602 WOODBAY DR. 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33626
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    Country              |    US
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    Telephone            |    813-528-1301
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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        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    CH11409
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    111NX0800X
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    Taxonomy Name        |    Orthopedic Chiropractor
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    License Number       |    CHIR009340
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    License Number State |    GA
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