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General NPI Number Information
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NPI Number | 1114904638
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Entity Type | Individual
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Provider Name | DAVID S CAMPION MD
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Gender | Male
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 436 N BEDFORD DR #211
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-275-6996
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Fax | 310-275-6997
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Provider Business Mailing Address
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Address Line | 10780 SANTA MONICA BLVD #440
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City | LOS ANGELES
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State | CA
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Zip | 90025-4749
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Country | US
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Telephone | 310-275-6996
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Fax | 310-275-6997
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | A24908
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License Number State | CA
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