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General NPI Number Information
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NPI Number | 1316352925
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Entity Type | Individual
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Provider Name | CAMERON YORDON HAS
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Gender | Male
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 1332 N FERDON BLVD
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City | CRESTVIEW
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State | FL
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Zip | 32536-1749
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Country | US
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Telephone | 850-683-8777
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Fax | 850-683-8785
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Provider Business Mailing Address
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Address Line | 1031 W 23RD ST SUITE A
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City | PANAMA CITY
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State | FL
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Zip | 32405-3607
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Country | US
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Telephone | 850-763-0801
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Fax | 850-769-1997
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4844
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License Number State | FL
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