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General NPI Number Information
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NPI Number | 1639786668
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Entity Type | Individual
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Provider Name | PRISCILLA A. CAMBERT APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 3304 STONES THROW AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-4204
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Country | US
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Telephone | 330-707-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 7630 SOUTHERN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-5633
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Country | US
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Telephone | 330-729-8011
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0027436
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License Number State | OH
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