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General NPI Number Information
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NPI Number | 1043317498
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Entity Type | Individual
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Provider Name | CHRISTINE J CAMPBELL LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 2530 WEST 47TH STREET
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City | KANSAS CITY
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State | KS
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Zip | 66103
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Country | US
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Telephone | 913-789-7876
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Fax | 913-677-2184
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Provider Business Mailing Address
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Address Line | 2530 WEST 47TH STREET
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City | KANSAS CITY
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State | KS
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Zip | 66103
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Country | US
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Telephone | 913-789-7876
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Fax | 913-677-2184
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1674
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License Number State | KS
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