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General NPI Number Information
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NPI Number | 1053402354
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Entity Type | Individual
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Provider Name | MARY ANN CAMPBELL M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 8300 COLLIER BLVD
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City | NAPLES
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State | FL
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Zip | 34114-3549
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Country | US
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Telephone | 239-348-4221
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Fax | 913-338-4606
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Provider Business Mailing Address
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Address Line | 6101 PINE RIDGE RD
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City | NAPLES
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State | FL
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Zip | 34119-3900
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Country | US
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Telephone | 239-348-4221
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Fax | 913-338-4606
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-23296
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12339
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License Number State | FL
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