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General NPI Number Information
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NPI Number | 1003136193
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Entity Type | Organization
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Legal Business Name | NANCY E CAMPBELL, LLC
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 2230 E. SPEEDWAY BLVD., SUITE 100
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City | TUCSON
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State | AZ
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Zip | 85719
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Country | US
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Telephone | 520-878-7857
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Fax | 520-572-2049
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Provider Business Mailing Address
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Address Line | 14110 N CROOKED CREEK DR.
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City | MARANA
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State | AZ
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Zip | 85658
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Country | US
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Telephone | 520-878-7857
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Fax | 520-572-2049
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Authorized Official
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Title or Position | OWNER, NANCY E CAMPBELL, LLC
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Name | NANCY E CAMPBELL
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Credential | MSW, LCSW
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Telephone | 520-878-7857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015847
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License Number State | PA
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