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General NPI Number Information
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NPI Number | 1710079116
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Entity Type | Individual
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Provider Name | DARREN JOE CAMDEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 S. SAMPSON
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City | TREMONT
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State | IL
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Zip | 61568-1046
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Country | US
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Telephone | 309-925-5541
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Fax | 309-925-4204
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Provider Business Mailing Address
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Address Line | 100 S. SAMPSON PO BOX 1046
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City | TREMONT
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State | IL
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Zip | 61568-1046
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Country | US
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Telephone | 309-925-5541
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Fax | 309-925-4204
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | A05391
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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