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General NPI Number Information
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NPI Number | 1033953948
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Entity Type | Individual
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Provider Name | COURTNEY L CAMPBELL LPN, NBC-HWC, TTS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8803 E HARRY ST APT 506
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City | WICHITA
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State | KS
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Zip | 67207-4714
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Country | US
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Telephone | 316-250-9247
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Fax |
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Provider Business Mailing Address
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Address Line | 8803 E HARRY ST APT 506
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City | WICHITA
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State | KS
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Zip | 67207-4714
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Country | US
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Telephone | 316-250-9247
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 23-47482-101
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License Number State | KS
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