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General NPI Number Information
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NPI Number | 1699627596
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Entity Type | Individual
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Provider Name | CAMERON PADDISON APNP
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Gender | Male
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 675 N BARKER RD STE 100
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City | BROOKFIELD
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State | WI
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Zip | 53045-5937
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Country | US
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Telephone | 262-217-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 4446 N BARTLETT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53211-1507
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Country | US
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Telephone | 858-449-3441
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 17768-33
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License Number State | WI
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