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General NPI Number Information
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NPI Number | 1669261616
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Entity Type | Individual
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Provider Name | CAMI METTLER
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 310 S PENN ST STE 106
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City | ABERDEEN
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State | SD
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Zip | 57401-4553
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Country | US
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Telephone | 605-622-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 1722 ABBY AVE SE APT 16
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City | ABERDEEN
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State | SD
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Zip | 57401-3020
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Country | US
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Telephone | 605-430-8271
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R060107
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License Number State | SD
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