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General NPI Number Information
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NPI Number | 1740015718
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Entity Type | Individual
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Provider Name | MRS. LAURA CAMERON
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Gender | Female
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Dates
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Enumeration Date | 09/07/2024
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Last Update Date | 09/07/2024
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Provider Practice Location Address
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Address Line | 2685 ULMERTON RD STE 201
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City | CLEARWATER
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State | FL
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Zip | 33762-5330
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Country | US
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Telephone | 727-851-9575
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Fax |
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Provider Business Mailing Address
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Address Line | 6817 8TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-6815
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Country | US
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Telephone | 727-644-3472
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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