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General NPI Number Information
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NPI Number | 1407523699
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Entity Type | Individual
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Provider Name | CAMERON MARIE RAI CPM
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 621 SUMPTER ST
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City | PULASKI
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State | TN
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Zip | 38478-2311
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Country | US
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Telephone | 931-371-3074
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Fax | 931-903-1219
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Provider Business Mailing Address
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Address Line | 621 SUMPTER ST
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City | PULASKI
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State | TN
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Zip | 38478-2311
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Country | US
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Telephone | 931-292-9118
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Fax | 931-903-1219
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 210200008
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | CPM0000000104
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License Number State | TN
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