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General NPI Number Information
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NPI Number | 1326932500
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Entity Type | Individual
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Provider Name | CAMERON LUKE ROBERTSON DDS
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 18020 BUSINESS 13 STE E
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City | BRANSON WEST
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State | MO
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Zip | 65737-9685
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Country | US
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Telephone | 417-272-3352
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 W GOLDFINCH DR
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City | OZARK
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State | MO
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Zip | 65721-0020
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Country | US
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Telephone | 417-299-0324
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Fax | 417-299-0324
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2025019758
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License Number State | MO
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