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General NPI Number Information
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NPI Number | 1285336040
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Entity Type | Organization
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Legal Business Name | FOOT SERVICES BY JAYNELL M SMITH-CAMERON
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 3115 SPRING GLEN RD STE 507
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5907
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Country | US
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Telephone | 904-294-1192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2588
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City | JACKSONVILLE
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State | FL
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Zip | 32203-2588
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Country | US
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Telephone | 904-294-1192
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JAYNELL SMITH-CAMERON
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Credential | DPM
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Telephone | 904-294-1192
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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 |
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License Number State |
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