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General NPI Number Information
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NPI Number | 1114234739
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Entity Type | Individual
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Provider Name | BILLIE JO CAMPBELL APRN
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 380 SUWANNEE TRAIL ST
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City | BOWLING GREEN
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State | KY
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Zip | 42103-7956
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Country | US
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Telephone | 270-901-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 CAMDEN CT
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City | BOWLING GREEN
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State | KY
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Zip | 42103-1430
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Country | US
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Telephone | 270-799-6821
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Fax | 270-842-5268
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3006626
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License Number State | KY
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