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General NPI Number Information
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NPI Number | 1992610281
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Entity Type | Individual
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Provider Name | CAMERON HALL RN
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Gender |
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 2150 FREEMAN RD E STE 1
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City | FIFE
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State | WA
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Zip | 98424-3776
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Country | US
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Telephone | 253-922-7833
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Fax | 253-922-7611
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Provider Business Mailing Address
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Address Line | 11361 N 99TH AVE STE 402
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City | PEORIA
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State | AZ
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Zip | 85345-5459
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Country | US
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Telephone | 602-650-1212
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.RN.70129869.MSL
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License Number State | WA
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