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General NPI Number Information
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NPI Number | 1629772959
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Entity Type | Individual
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Provider Name | ABIGAIL LYNNE CAMERO PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 400 W ARBROOK BLVD STE 300
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City | ARLINGTON
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State | TX
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Zip | 76014-3180
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Country | US
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Telephone | 817-960-9137
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Fax |
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Provider Business Mailing Address
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Address Line | 498 RAINIER ST
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City | CEDAR HILL
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State | TX
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Zip | 75104-2867
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Country | US
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Telephone | 469-371-0079
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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 | 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 #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17120
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License Number State | TX
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