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General NPI Number Information
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NPI Number | 1851966337
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Entity Type | Individual
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Provider Name | BARBARA LEE CAMACHO
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Gender | Female
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | BO. HATO ARRIBA, CARR 129 KM 3.3, ARECIBO,P.R. 00612
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-329-0250
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Fax |
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Provider Business Mailing Address
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Address Line | BO. HATO ARRIBA, CARR 129 KM 3.3, ARECIBO P.R. 00612 P.O. BOX 1323, UTUADO,P.R. 00641
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-329-0250
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 000905-P.A.
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License Number State | PR
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