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General NPI Number Information
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NPI Number | 1104041797
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Entity Type | Individual
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Provider Name | LEE CREPEAU CAMPANO MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 221 E MAIN ST STE 105
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City | MILFORD
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State | MA
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Zip | 01757-2826
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Country | US
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Telephone | 508-473-7599
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Fax | 508-473-1418
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Provider Business Mailing Address
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Address Line | 9 INDUSTRIAL RD STE 5
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City | MILFORD
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State | MA
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Zip | 01757-3736
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Country | US
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Telephone | 508-473-1480
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036121158
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1014913
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License Number State | MA
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