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General NPI Number Information
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NPI Number | 1386622363
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Entity Type | Individual
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Provider Name | CAMERON SHERWOOD SCHAEFFER MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD STE 601
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City | LEXINGTON
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State | KY
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Zip | 40503-1474
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Country | US
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Telephone | 859-275-5437
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Fax | 859-275-5434
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Provider Business Mailing Address
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Address Line | 169 BURT RD
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City | LEXINGTON
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State | KY
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Zip | 40503-2455
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Country | US
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Telephone | 859-278-9242
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Fax | 859-277-0240
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 31252
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 31252
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 31252
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | ME138780
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2088P0231X
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Taxonomy Name | Pediatric Urology Physician
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License Number | 31252
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License Number State | KY
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