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General NPI Number Information
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NPI Number | 1346574662
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Entity Type | Organization
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Legal Business Name | SUSAN B CAMERON, LPC, PA
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 2301 OHIO DR STE 259
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City | PLANO
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State | TX
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Zip | 75093-3990
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Country | US
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Telephone | 972-964-7730
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Fax | 972-692-8692
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Provider Business Mailing Address
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Address Line | 2301 OHIO DR STE 259
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City | PLANO
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State | TX
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Zip | 75093-3990
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. SUSAN B CAMERON
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Credential |
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Telephone | 972-964-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12736
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License Number State | TX
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