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General NPI Number Information
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NPI Number | 1730337916
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH CAMMON LMP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2008
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Last Update Date | 08/31/2008
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Provider Practice Location Address
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Address Line | 1919 N PEARL ST SUITE A4
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City | TACOMA
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State | WA
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Zip | 98406-2461
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Country | US
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Telephone | 253-761-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 3279 70TH AVE E APT. A102
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City | FIFE
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State | WA
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Zip | 98424-3657
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Country | US
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Telephone | 253-353-5613
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | MA25206
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License Number State | WA
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