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General NPI Number Information
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NPI Number | 1265010185
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Entity Type | Individual
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Provider Name | CAMERON LEE MCMAHEN DPM
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Gender | Male
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1715 E 12TH ST
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City | THE DALLES
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State | OR
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Zip | 97058-3136
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Country | US
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Telephone | 541-296-2294
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 E 11TH ST
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City | THE DALLES
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State | OR
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Zip | 97058-3004
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Country | US
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Telephone | 214-681-6194
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | DP225598
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License Number State | OR
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