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General NPI Number Information
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NPI Number | 1518779156
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Entity Type | Individual
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Provider Name | CAROLINE VIRGINIA CAMERON MA
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Gender | Female
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 10210 GROGANS MILL RD STE 145
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1144
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Country | US
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Telephone | 281-222-6247
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Fax | 844-475-2309
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Provider Business Mailing Address
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Address Line | 55 NOCTURNE WOODS PL
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City | THE WOODLANDS
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State | TX
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Zip | 77382-1452
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Country | US
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Telephone | 281-363-0975
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 97250
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License Number State | TX
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