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General NPI Number Information
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NPI Number | 1477140127
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Entity Type | Individual
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Provider Name | CAMERON LAINE FISHER MD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 402 DICKINSON ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-6902
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Country | US
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Telephone | 619-543-5297
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3158
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City | PORTLAND
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State | OR
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Zip | 97208-3158
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 187570
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License Number State | CA
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