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General NPI Number Information
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NPI Number | 1659636637
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Entity Type | Individual
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Provider Name | NORBERTO CAMACHO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 40 SW 13TH ST STE 801
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City | MIAMI
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State | FL
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Zip | 33130
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Country | US
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Telephone | 305-505-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 40 SW 13TH ST STE 801
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City | MIAMI
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State | FL
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Zip | 33130-4345
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Country | US
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Telephone | 305-505-4100
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Fax | 305-716-9177
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19705
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License Number State | FL
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