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General NPI Number Information
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NPI Number | 1427920230
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Entity Type | Individual
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Provider Name | EMILY VANESSA CAMACHO DDS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2710 CARSON ST
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City | LAKEWOOD
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State | CA
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Zip | 90712-4051
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Country | US
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Telephone | 562-275-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 4690 W 142ND ST
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City | HAWTHORNE
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State | CA
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Zip | 90250-6835
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Country | US
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Telephone | 310-948-7718
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS112310
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License Number State | CA
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