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General NPI Number Information
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NPI Number | 1942379326
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Entity Type | Individual
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Provider Name | ANNE ELIZABETH CAMM PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR FIFTH FLOOR
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City | MIDDLETOWN
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State | OH
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Zip | 45005-2584
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Country | US
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Telephone | 513-420-5233
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Fax | 513-420-8768
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR FIFTH FLOOR
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City | MIDDLETOWN
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State | OH
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Zip | 45005-2584
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Country | US
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Telephone | 513-420-5233
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Fax | 513-420-8768
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 4892
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License Number State | OH
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