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NPI 1346129590

NPI 1346129590 : WHITNEY MC CAMON MED : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1346129590
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    Entity Type          |    Individual 
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    Provider Name        |    WHITNEY MC CAMON MED
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    Gender               |     
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Dates
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    Enumeration Date     |    09/01/2025
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    Last Update Date     |    09/01/2025
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Provider Practice Location Address
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    Address Line         |    8526 HICKORY LN 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92504-2915
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    Country              |    US
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    Telephone            |    951-706-0028
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24636 VIA LAS BRISAS 
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    City                 |    YORBA LINDA
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    State                |    CA
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    Zip                  |    92887-5517
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    Country              |    US
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    Telephone            |    657-323-3264
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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