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General NPI Number Information
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NPI Number | 1477584647
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Entity Type | Organization
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Legal Business Name | COUNTY OF CAMDEN
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 1976 N BUSINESS ROUTE 5
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City | CAMDENTON
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State | MO
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Zip | 65020-2612
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Country | US
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Telephone | 573-346-5479
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Fax | 573-346-0173
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Provider Business Mailing Address
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Address Line | PO BOX 816 1976 NORTH BUSINESS RT 5
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City | CAMDENTON
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State | MO
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Zip | 65020-0816
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Country | US
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Telephone | 573-346-5479
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Fax | 573-346-0173
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TONDA DAMPIER
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Credential |
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Telephone | 573-346-5479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 12485519
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License Number State | MO
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