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General NPI Number Information
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NPI Number | 1396223384
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Entity Type | Individual
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Provider Name | CAMILE BURGOS-TORRES
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 415 S CHICKASAW TRL
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City | ORLANDO
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State | FL
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Zip | 32825-7803
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Country | US
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Telephone | 787-264-7407
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Fax |
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Provider Business Mailing Address
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Address Line | 233 E WILBUR AVE UNIT 237
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City | LAKE MARY
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State | FL
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Zip | 32746-3250
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Country | US
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Telephone | 787-428-6904
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5285
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License Number State | FL
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