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General NPI Number Information
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NPI Number | 1396192340
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Entity Type | Individual
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Provider Name | KATIE ELIZABETH CAMERON CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 26760 NEWBY RD
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City | ATHENS
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State | AL
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Zip | 35613-8751
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Country | US
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Telephone | 256-427-4777
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Fax | 256-693-5999
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Provider Business Mailing Address
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Address Line | 26760 NEWBY RD
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City | ATHENS
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State | AL
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Zip | 35613-8751
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Country | US
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Telephone | 256-427-4777
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Fax | 256-693-5999
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-122763
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License Number State | AL
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