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General NPI Number Information
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NPI Number | 1043774789
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Entity Type | Individual
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Provider Name | ARIELLE M CAMPBELL PA
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Gender | Female
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 5002 CROSSINGS CIR STE 100
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City | MT JULIET
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State | TN
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Zip | 37122-8496
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Country | US
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Telephone | 844-893-0012
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12369
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City | MURFREESBORO
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State | TN
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Zip | 37129-0048
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Country | US
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Telephone | 844-893-0012
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4450
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2019002633
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License Number State | MO
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