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General NPI Number Information
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NPI Number | 1780625335
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Entity Type | Individual
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Provider Name | WILLIAM L CAMP JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 2000 AUBURN DR STE 120
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City | BEACHWOOD
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State | OH
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Zip | 44122-4328
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Country | US
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Telephone | 216-342-3333
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Fax | 216-342-3233
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Provider Business Mailing Address
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Address Line | 2500 METROHEALTH DR DEPT OF DERMATOLOGY H576
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City | CLEVELAND
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State | OH
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Zip | 44109-1900
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Country | US
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Telephone | 216-778-3376
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD 25639
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.099860
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License Number State | OH
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