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General NPI Number Information
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NPI Number | 1538696455
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Entity Type | Individual
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Provider Name | DR. CAMERON WALES
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Gender | Male
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 14 DEL PRADO BLVD N STE 201
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City | CAPE CORAL
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State | FL
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Zip | 33909-2797
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Country | US
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Telephone | 239-242-1940
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Fax | 239-772-5440
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Provider Business Mailing Address
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Address Line | 8381 RIVERWALK PARK BLVD STE 101
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City | FORT MYERS
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State | FL
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Zip | 33919-8760
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Country | US
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Telephone | 239-242-1940
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Fax | 239-772-5440
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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 | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | ME157824
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | M-16213
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License Number State | ID
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