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General NPI Number Information
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NPI Number | 1588910830
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Entity Type | Individual
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Provider Name | CAMILLA N SIMON APRN
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Gender | Female
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 770 KAPIOLANI BLVD STE 705
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City | HONOLULU
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State | HI
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Zip | 96813-5241
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Country | US
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Telephone | 808-597-8788
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Fax |
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Provider Business Mailing Address
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Address Line | 770 KAPIOLANI BLVD
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City | HONOLULU
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State | HI
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Zip | 96813-5212
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Country | US
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Telephone | 808-597-8799
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN001410
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN001410
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11020157
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-4895
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License Number State | HI
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