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General NPI Number Information
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NPI Number | 1497625271
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Entity Type | Individual
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Provider Name | CAMERON STEPHAN RD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 300 RYANS RUN CT
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City | GREENVILLE
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State | SC
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Zip | 29615-6056
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Country | US
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Telephone | 518-593-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RYANS RUN CT
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City | GREENVILLE
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State | SC
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Zip | 29615-6056
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Country | US
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Telephone | 518-593-3780
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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 | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 3427
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License Number State | SC
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