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General NPI Number Information
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NPI Number | 1417604596
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Entity Type | Individual
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Provider Name | CAMERON JAMES ADAMS
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Gender | Male
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 4133 HWY 7 S
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City | JEREMIAH
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State | KY
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Zip | 41826
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Country | US
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Telephone | 606-634-9887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 393
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City | ISOM
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State | KY
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Zip | 41824-0393
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | I14769
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License Number State | KY
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