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General NPI Number Information
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NPI Number | 1811453525
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Entity Type | Individual
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Provider Name | CAMERON LEARMAN PA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 7140 INDIANA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-4544
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Country | US
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Telephone | 951-358-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 MICHELSON DR APT 3201
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City | IRVINE
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State | CA
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Zip | 92612-4316
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Country | US
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Telephone | 989-450-9477
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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 | PA56509
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 56509
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601010612
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License Number State | MI
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