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General NPI Number Information
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NPI Number | 1730718321
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Entity Type | Individual
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Provider Name | CAMERON TAYLOR SMITH MPAS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 60 RIVERSIDE BLVD APT 705
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City | NEW YORK
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State | NY
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Zip | 10069-0209
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Country | US
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Telephone | 972-302-7061
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Fax |
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Provider Business Mailing Address
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Address Line | 60 RIVERSIDE BLVD APT 705
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City | NEW YORK
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State | NY
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Zip | 10069-0209
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Country | US
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Telephone | 972-302-7061
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 025986
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 025986
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 025986
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13511
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085007702
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 025986
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License Number State | NY
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