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General NPI Number Information
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NPI Number | 1639188758
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Entity Type | Individual
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Provider Name | DARLA NADINE CAMERON FNP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 21 WESTERN AVE
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City | HAMPDEN
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State | ME
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Zip | 04444-1422
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Country | US
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Telephone | 207-862-0300
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Fax | 207-907-1041
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Provider Business Mailing Address
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Address Line | C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
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City | LEWISTON
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State | ME
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Zip | 04243-7291
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Country | US
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Telephone | 207-777-8941
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Fax | 207-777-4397
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP81361
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License Number State | ME
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