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General NPI Number Information
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NPI Number | 1851883128
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Entity Type | Individual
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Provider Name | MANUEL E CAMACHO ACNP
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Gender | Male
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Dates
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Enumeration Date | 06/03/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2627 CHESTNUT RIDGE RD., STE. 100
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City | KINGWOOD
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State | TX
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Zip | 77339
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Country | US
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Telephone | 281-358-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 3431 SARDIS LN
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City | HOUSTON
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State | TX
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Zip | 77088-5650
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Country | US
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Telephone | 713-933-7224
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP137424
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2024034167
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License Number State | MO
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