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General NPI Number Information
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NPI Number | 1750036612
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Entity Type | Individual
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Provider Name | HALEY CAMINO PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 811 N MAIN ST
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City | MT PLEASANT
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State | TN
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Zip | 38474-1017
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Country | US
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Telephone | 931-379-3229
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Fax |
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Provider Business Mailing Address
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Address Line | 371 JONESTOWN RD
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City | SUMMERTOWN
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State | TN
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Zip | 38483-7061
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Country | US
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Telephone | 660-591-5275
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4936
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License Number State | TN
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