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General NPI Number Information
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NPI Number | 1114031408
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Entity Type | Individual
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Provider Name | AMY J CAMPBELL MSPT
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5319 N SAGINAW RD
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City | MIDLAND
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State | MI
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Zip | 48642-7501
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Country | US
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Telephone | 989-832-6485
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Fax | 989-832-6485
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Provider Business Mailing Address
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Address Line | 5319 N SAGINAW RD
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City | MIDLAND
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State | MI
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Zip | 48642-7501
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Country | US
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Telephone | 989-832-6485
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Fax | 989-832-6485
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501011947
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License Number State | MI
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