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General NPI Number Information
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NPI Number | 1124182514
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Entity Type | Individual
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Provider Name | SHARON L CAMPBELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1188 RALPH DAVID ABERNATHY BLVD WEST END
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City | ATLANTA
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State | GA
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Zip | 30310-1716
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Country | US
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Telephone | 404-755-0570
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Fax | 404-755-0520
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Provider Business Mailing Address
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Address Line | 10051 5TH STREET NORTH #200
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City | ST. PETERSBURG
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State | FL
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Zip | 33702-2211
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Country | US
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Telephone | 404-755-8996
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Fax | 404-755-0570
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN121520
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License Number State | GA
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