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General NPI Number Information
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NPI Number | 1013025741
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Entity Type | Organization
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Legal Business Name | CAMPAGNA INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 173 STATE ST
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City | BRISTOL
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State | RI
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Zip | 02809-2205
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Country | US
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Telephone | 401-253-8808
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Fax | 401-253-4890
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Provider Business Mailing Address
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Address Line | 173 STATE ST
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City | BRISTOL
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State | RI
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Zip | 02809-2205
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Country | US
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Telephone | 401-253-8808
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Fax | 401-253-4890
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | VINCENT MICHAEL CAMPAGNA JR.
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Credential | BS REG PHARM
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Telephone | 401-253-8808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHAOO118
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHA00118
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License Number State | RI
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