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General NPI Number Information
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NPI Number | 1023554854
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Entity Type | Organization
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Legal Business Name | WENDY L CAMPBELL
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 2421 TANGLEY ST STE 117
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City | HOUSTON
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State | TX
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Zip | 77005-2517
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Country | US
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Telephone | 713-380-9475
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Fax | 713-965-0676
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Provider Business Mailing Address
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Address Line | 4009 CASE ST
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City | HOUSTON
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State | TX
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Zip | 77005-3605
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Country | US
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Telephone | 713-906-9717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WENDY CAMPBELL
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Credential |
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Telephone | 713-380-9475
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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 |
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License Number State |
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