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General NPI Number Information
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NPI Number | 1114681970
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Entity Type | Individual
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Provider Name | RICHARD CAMPBELL APRN
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Gender | Male
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1900 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1979
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Country | US
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Telephone | 352-536-8840
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Fax | 352-536-8841
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-0340
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01215200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11038994
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License Number State | FL
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