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General NPI Number Information
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NPI Number | 1780541151
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Entity Type | Individual
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Provider Name | CAMERON LABELLE TAYLOR PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10870 US ONE N UNIT 104
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32081-7804
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Country | US
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Telephone | 904-438-2720
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Fax | 904-212-1711
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Provider Business Mailing Address
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Address Line | 109 SWIMMING PEN DR
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City | MIDDLEBURG
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State | FL
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Zip | 32068-6754
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 390200000X
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License Number State | FL
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