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General NPI Number Information
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NPI Number | 1508632977
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Entity Type | Individual
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Provider Name | VERONICA CAMACHO
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Gender | Female
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 3125 MYERS ST
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City | RIVERSIDE
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State | CA
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Zip | 92503-5527
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Country | US
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Telephone | 951-358-4030
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Fax | 951-306-3798
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Provider Business Mailing Address
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Address Line | 22985 CLIMBING ROSE DR APT 137
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City | MORENO VALLEY
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State | CA
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Zip | 92557-6031
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Country | US
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Telephone | 951-217-9127
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | CA
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