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General NPI Number Information
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NPI Number | 1639693070
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH CAMARGO ATC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/27/2017
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Provider Practice Location Address
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Address Line | 1500 RALSTON AVE
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City | BELMONT
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State | CA
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Zip | 94002-1908
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Country | US
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Telephone | 650-508-3448
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 CORAL RD
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City | OAKLAND
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State | CA
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Zip | 94603-1020
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Country | US
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Telephone | 510-418-6560
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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