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General NPI Number Information
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NPI Number | 1023430089
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Entity Type | Individual
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Provider Name | TERESA CAMPBELL CFA
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Gender | Female
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 156 AVON MARKET PL
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City | AVON
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State | IN
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Zip | 46123-6019
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Country | US
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Telephone | 317-559-2298
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Fax |
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Provider Business Mailing Address
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Address Line | 1423 JOANNA CT
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City | AVON
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State | IN
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Zip | 46123-8011
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Country | US
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Telephone | 317-371-6697
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 125813
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License Number State |
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