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General NPI Number Information
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NPI Number | 1972218162
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Entity Type | Organization
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Legal Business Name | DR. CAMERON & ASSOCIATES OF ROLESVILLE, PLLC
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 101 REDFORD PLACE DR STE 200
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City | ROLESVILLE
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State | NC
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Zip | 27571-9545
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Country | US
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Telephone | 919-977-0627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 603775
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City | CHARLOTTE
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State | NC
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Zip | 28260-3775
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | AMENA HOLLEY
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Credential |
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Telephone | 248-550-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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