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General NPI Number Information
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NPI Number | 1568806586
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Entity Type | Individual
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Provider Name | KATE ELIZABETH CAMERON
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Gender | Female
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Dates
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Enumeration Date | 04/21/2013
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1655 THE GREENS WAY UNIT 2632
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-2461
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Country | US
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Telephone | 904-386-5368
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Fax |
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Provider Business Mailing Address
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Address Line | 5445 STATE ROAD 16
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-1350
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Country | US
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Telephone | 904-940-5556
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PSI26002
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License Number State | FL
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