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General NPI Number Information
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NPI Number | 1033416722
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Entity Type | Individual
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Provider Name | MELANIE K CAMPBELL L.AC, DIPAC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 830 E JOHNSTOWN RD. STE C
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-584-7989
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Fax | 614-534-0633
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Provider Business Mailing Address
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Address Line | 830 E JOHNSTOWN RD. STE C
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-584-7989
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Fax | 614-534-0633
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65.000202
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License Number State | OH
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