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General NPI Number Information
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NPI Number | 1265097596
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Entity Type | Individual
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Provider Name | JOHN CAMERON DPM
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 6405 N FEDERAL HWY STE 405
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-1414
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Country | US
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Telephone | 954-771-5900
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Fax | 954-771-5959
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Provider Business Mailing Address
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Address Line | 26900 GEORGE ZEIGER DR APT 340
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City | BEACHWOOD
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State | OH
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Zip | 44122-7612
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Country | US
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Telephone | 419-260-5945
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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 | 39
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4396
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License Number State | FL
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