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General NPI Number Information
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NPI Number | 1649926809
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Entity Type | Individual
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Provider Name | CAMILAH D CARTER
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Gender | Female
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 109 BAILY RD
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City | YEADON
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State | PA
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Zip | 19050-2929
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Country | US
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Telephone | 267-746-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BAILY RD
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City | YEADON
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State | PA
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Zip | 19050-2929
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Country | US
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Telephone | 267-746-5096
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 62863601
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 62863601
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 62863601
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License Number State | PA
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