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General NPI Number Information
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NPI Number | 1003835141
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Entity Type | Organization
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Legal Business Name | CAMPBELL CLINIC, PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1400 S GERMANTOWN RD
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City | GERMANTOWN
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State | TN
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Zip | 38138-2205
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Country | US
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Telephone | 901-759-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S GERMANTOWN RD
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City | GERMANTOWN
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State | TN
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Zip | 38138-2205
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Country | US
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Telephone | 901-759-3100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL SHUMATE
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Credential |
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Telephone | 901-759-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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