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General NPI Number Information
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NPI Number | 1942351325
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Entity Type | Individual
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Provider Name | CAMERON MARY PLAGENS MAATR
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Gender | Female
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Dates
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Enumeration Date | 01/14/2007
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 30400 DETROIT RD STE 105
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City | WESTLAKE
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State | OH
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Zip | 44145-1855
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Country | US
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Telephone | 440-871-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 24308 BRUCE RD
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City | BAY VILLAGE
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State | OH
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Zip | 44140-2938
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Country | US
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Telephone | 440-773-8356
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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