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General NPI Number Information
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NPI Number | 1972174464
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Entity Type | Organization
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Legal Business Name | CAMERON MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 8710 CAMERON ST UNIT 408
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City | SILVER SPRING
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State | MD
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Zip | 20910-3704
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Country | US
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Telephone | 15-734-4203
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Fax | 301-681-2713
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Provider Business Mailing Address
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Address Line | 8710 CAMERON ST UNIT 408
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City | SILVER SPRING
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State | MD
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Zip | 20910-3704
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Country | US
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Telephone | 301-573-4420
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Fax | 301-681-2713
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MS. WANDA ELAINE LUMPKINS
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Credential | PAC
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Telephone | 301-573-4420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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