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General NPI Number Information
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NPI Number | 1093689465
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Entity Type | Individual
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Provider Name | MR. QUINTON WAYNE CAMPBELL JR.
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Gender |
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 232 CEDAR LODGE RD
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City | THOMASVILLE
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State | NC
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Zip | 27360-6143
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Country | US
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Telephone | 336-474-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 MAXWELL ST
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City | SALISBURY
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State | NC
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Zip | 28144-2838
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000038190279
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License Number State | NC
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