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General NPI Number Information
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NPI Number | 1548610439
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Entity Type | Individual
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Provider Name | GABRIEL EVARISTO CAMACHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 800-967-2289
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Fax |
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Provider Business Mailing Address
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Address Line | 52 PROSPECT ST APT 1
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City | JERSEY CITY
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State | NJ
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Zip | 07307-1801
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Country | US
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Telephone | 800-967-2289
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME171641
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License Number State | FL
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