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General NPI Number Information
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NPI Number | 1619460011
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Entity Type | Individual
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Provider Name | CAMERON WILLIAM BRASSFIELD DO
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Gender | Male
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 532 WEBB BLVD
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City | HAVELOCK
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State | NC
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Zip | 28532-2042
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Country | US
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Telephone | 252-447-7088
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Fax | 252-447-2752
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-0068
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Country | US
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Telephone | 252-635-3906
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Fax | 252-224-0378
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025-00288
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102205870
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License Number State | VA
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