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General NPI Number Information
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NPI Number | 1477011799
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Entity Type | Individual
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Provider Name | CAMERON D HADLEY
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Gender | Male
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-257-3573
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Fax |
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Provider Business Mailing Address
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Address Line | 2282 STONEWOOD LN
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City | LEXINGTON
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State | KY
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Zip | 40509-4417
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Country | US
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Telephone | 859-257-3573
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 06101
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License Number State | KY
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