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General NPI Number Information
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NPI Number | 1093482093
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Entity Type | Individual
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Provider Name | IRVING JOSEPH CAMPBELL APRN
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Gender | Male
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1485 GATEWAY BLVD STE 101
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8313
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Country | US
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Telephone | 561-231-6999
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Fax | 561-231-9696
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Provider Business Mailing Address
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Address Line | PO BOX 4189
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-4189
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Country | US
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Telephone | 954-363-9582
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Fax | 954-363-9663
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11014498
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License Number State | FL
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