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General NPI Number Information
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NPI Number | 1588984348
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Entity Type | Organization
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Legal Business Name | CAMINO COMMUNITY DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 133 STETSON DR
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City | CHARLOTTE
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State | NC
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Zip | 28262-3326
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Country | US
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Telephone | 704-596-5606
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Fax | 704-596-7570
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Provider Business Mailing Address
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Address Line | 133 STETSON DR
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City | CHARLOTTE
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State | NC
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Zip | 28262-3326
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Country | US
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Telephone | 704-596-5606
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Fax | 704-596-7570
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Authorized Official
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Title or Position | DIRECTOR OF QI AND COMPLIANCE
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Name | HEATHER AGUILERA
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Credential | CHC
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Telephone | 704-467-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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