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General NPI Number Information
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NPI Number | 1518392232
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Entity Type | Individual
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Provider Name | SEAN ALEXANDER CAMERON PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1105 6TH ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2349
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Country | US
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Telephone | 231-995-9508
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Fax | 231-929-2540
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Provider Business Mailing Address
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Address Line | 36115 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-1216
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Country | US
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Telephone | 734-464-0887
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Fax | 734-402-0254
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601006786
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License Number State | MI
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