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General NPI Number Information
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NPI Number | 1790623130
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Entity Type | Individual
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Provider Name | CAMRYN ROSE ACEVEDO-BURKE
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Gender | Female
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 715 SOUTHERN EDGE WAY
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City | SANFORD
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State | FL
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Zip | 32771-6954
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Country | US
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Telephone | 168-977-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 14106 BRADBURY RD
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City | ORLANDO
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State | FL
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Zip | 32828-4880
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Country | US
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Telephone | 689-327-4286
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | FL
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