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General NPI Number Information
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NPI Number | 1598886863
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Entity Type | Individual
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Provider Name | LUIS DANIEL CAMACHO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2021 EASTCHESTER DR STE 101
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City | HIGH POINT
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State | NC
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Zip | 27265-1565
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Country | US
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Telephone | 336-885-6511
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Fax | 336-885-6511
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Provider Business Mailing Address
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Address Line | 114 CALLE MCKINLEY W STE 107
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City | MAYAGUEZ
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State | PR
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Zip | 00680-3866
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Country | US
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Telephone | 787-265-3683
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Fax | 787-834-1251
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11252
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License Number State | NC
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