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General NPI Number Information
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NPI Number | 1861847535
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Entity Type | Individual
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Provider Name | YARIBELL CAMACHO MSW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | CARR. 718 KM 1.3 BO. PASTO P. O. BOX 1847
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City | AIBONITO
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State | PR
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Zip | 00705-0000
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Country | US
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Telephone | 787-316-6782
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1847
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City | AIBONITO
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State | PR
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Zip | 00705-1847
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Country | US
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Telephone | 787-316-6782
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12903
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License Number State | PR
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