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General NPI Number Information
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NPI Number | 1417443524
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Entity Type | Organization
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Legal Business Name | C.A.M. INC
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 1008 LINCOLN RD
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City | BELLEVUE
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State | NE
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Zip | 68005-2362
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Country | US
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Telephone | 402-291-7022
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Fax | 402-932-4271
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Provider Business Mailing Address
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Address Line | 1008 LINCOLN RD
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City | BELLEVUE
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State | NE
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Zip | 68005-2362
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Country | US
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Telephone | 402-291-7022
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Fax | 402-932-4271
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DE ANNA MARIE TWIGG
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Credential |
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Telephone | 402-291-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1825
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License Number State | NE
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