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General NPI Number Information
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NPI Number | 1053351569
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Entity Type | Individual
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Provider Name | JOSEPH V CAMPBELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 1057 SANFORD AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-1946
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Country | US
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Telephone | 973-373-1875
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Fax | 973-373-9005
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-0068
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Country | US
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Telephone | 973-373-1875
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Fax | 973-373-9005
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ,A59366
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License Number State | NJ
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