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General NPI Number Information
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NPI Number | 1144557166
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Entity Type | Organization
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Legal Business Name | CAMPBELL & FOSTER SPEECH-LANGUAGE CENTER, INC.
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 5228 VILLAGE CREEK DR SUITE 101
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City | PLANO
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State | TX
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Zip | 75093-0402
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Country | US
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Telephone | 972-658-1153
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Fax |
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Provider Business Mailing Address
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Address Line | 5228 VILLAGE CREEK DR SUITE 101
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City | PLANO
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State | TX
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Zip | 75093-0402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LYNN CAMPBELL
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Credential | M.S.
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Telephone | 972-658-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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