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NPI Code Detail

MEDICARE: MISS CAMERON (CAMI) DAWN SMITH MT-BC, NMT

MEDICARE: MISS CAMERON (CAMI) DAWN SMITH MT-BC, NMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic TherapistD01089846AZ

General Provider Information

NPI Number : 1932310711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CAMERON (CAMI) DAWN SMITH MT-BC, NMT
Provider Business Mailing Address
First Line : 1056 W MANHATTON DR
Second Line :
City : TEMPE
State : AZ
Zip : 85282-4617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2702 N 3RD ST STE 1000
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-4605
Country : US
Telephone Number : 602-840-6410
Fax Number : 602-840-6431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 07/08/2007

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Directions to “ MISS CAMERON (CAMI) DAWN SMITH MT-BC, NMT” Practice Location

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