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General NPI Number Information
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NPI Number | 1477827012
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Entity Type | Organization
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Legal Business Name | CAMILLE DENIS
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 5525 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2548
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Country | US
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Telephone | 305-758-9702
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Fax | 305-757-8640
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Provider Business Mailing Address
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Address Line | 5525 NE 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33137-2548
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Country | US
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Telephone | 305-758-9702
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Fax | 305-757-8640
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Authorized Official
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Title or Position | M.D.
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Name | CAMILLE DENIS
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Credential | M.D.
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Telephone | 305-758-9702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME27358
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License Number State | FL
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