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General NPI Number Information
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NPI Number | 1467434910
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Entity Type | Individual
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Provider Name | REENA M CAMOENS MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 815 N COLLEGE RD
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City | TWIN FALLS
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State | ID
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Zip | 83301-3484
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Country | US
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Telephone | 208-814-9100
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Fax | 208-814-9903
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Provider Business Mailing Address
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Address Line | 3601 THE VANDERBILT CLINIC
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City | NASHVILLE
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State | TN
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Zip | 37232-0001
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Country | US
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Telephone | 615-322-3000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD0000026538
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 331755
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD26538
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2461777
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 331755
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0058501
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License Number State | CO
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