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General NPI Number Information
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NPI Number | 1902828114
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Entity Type | Individual
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Provider Name | JENNIFER A CAMAS MD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 210 S MAIN ST # 101
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City | BROWNSVILLE
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State | KY
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Zip | 42210-9001
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Country | US
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Telephone | 270-975-4050
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Fax | 866-809-8145
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Provider Business Mailing Address
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Address Line | 6801 OWENSBORO RD
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City | LEITCHFIELD
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State | KY
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Zip | 42754-7752
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Country | US
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Telephone | 270-230-3411
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40180
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 40180
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License Number State | KY
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