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General NPI Number Information
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NPI Number | 1497076079
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Entity Type | Individual
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Provider Name | CAMERON JAMES THOMAS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 01/25/2017
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Provider Practice Location Address
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Address Line | 1411 J F KENNEDY DR
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City | BELLEVUE
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State | NE
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Zip | 68005-3639
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Country | US
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Telephone | 402-291-3535
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Fax | 402-291-0760
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Provider Business Mailing Address
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Address Line | 1411 J F KENNEDY DR
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City | BELLEVUE
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State | NE
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Zip | 68005-3639
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Country | US
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Telephone | 402-291-3535
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Fax | 402-291-0760
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 2404
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7303
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License Number State | NE
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