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General NPI Number Information
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NPI Number | 1639925779
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Entity Type | Individual
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Provider Name | CAMERON CRAMER
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Gender | Male
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 08/04/2024
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Provider Practice Location Address
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Address Line | 751 MID CITIES BLVD STE A
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City | HURST
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State | TX
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Zip | 76054-2748
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Country | US
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Telephone | 817-656-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 KAYS CT
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City | COLLEYVILLE
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State | TX
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Zip | 76034-7661
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Country | US
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Telephone | 817-917-2708
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11174
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License Number State | TX
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