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General NPI Number Information
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NPI Number | 1831777622
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Entity Type | Individual
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Provider Name | CAMILLE SALUNGA DE VERA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 501 E HAMPDEN AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2702
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Country | US
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Telephone | 303-788-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 620 SHADOW LN
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City | LAS VEGAS
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State | NV
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Zip | 89106-4119
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DO3652
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0073540
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0073540
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License Number State | CO
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