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NPI 1740130145

NPI 1740130145 : CAMERON HARRISON : ANTELOPE, CA

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General NPI Number Information
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    NPI Number           |    1740130145
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON HARRISON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/03/2026
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    7926 FIRESTONE WAY 
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    City                 |    ANTELOPE
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    State                |    CA
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    Zip                  |    95843-4633
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    Country              |    US
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    Telephone            |    916-727-7400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    612 RED BUD LN 
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    City                 |    MEADOW VISTA
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    State                |    CA
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    Zip                  |    95722-9706
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    Country              |    US
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    Telephone            |    530-913-5266
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    37949
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    License Number State |    CA
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