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General NPI Number Information
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NPI Number | 1720955438
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Entity Type | Individual
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Provider Name | CAMERON SCOTT CARSON
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Gender | Male
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP
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City | SAN ANTONIO
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 832-454-7674
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Fax |
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Provider Business Mailing Address
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Address Line | 910 VOSLER LOOP
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City | SAN ANTONIO
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State | TX
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Zip | 78227-4901
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Country | US
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Telephone | 832-454-7674
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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 | 1710I1003X
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Taxonomy Name | Independent Duty Medical Technicians
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License Number |
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License Number State |
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