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General NPI Number Information
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NPI Number | 1134327638
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Entity Type | Individual
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Provider Name | WILLEMIJN JOHANNA CAMPBELL M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 25124 NARBONNE AVE STE 10290
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City | LOMITA
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State | CA
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Zip | 90717-2142
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Country | US
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Telephone | 882-868-7158
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Fax | 888-286-8715
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Provider Business Mailing Address
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Address Line | 25124 NARBONNE AVE STE 102
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City | LOMITA
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State | CA
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Zip | 90717-2140
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Country | US
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Telephone | 888-286-8715
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Fax | 888-286-8715
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-12-12499
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License Number State | CA
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