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General NPI Number Information
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NPI Number | 1124771928
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT CAMPBELL RPH
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Gender | Male
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 164 MEDICAL CENTER RD STE E
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City | CHICORA
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State | PA
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Zip | 16025-2612
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Country | US
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Telephone | 724-445-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 116 STRATFORD CT
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City | NEW STANTON
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State | PA
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Zip | 15672-9427
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Country | US
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Telephone | 207-576-2031
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP450433
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License Number State | PA
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