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General NPI Number Information
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NPI Number | 1154536076
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Entity Type | Organization
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Legal Business Name | DENNIS R. CAMPBELL DDS
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 172 ASHELAND AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4005
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Country | US
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Telephone | 828-254-7291
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Fax | 828-254-9487
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Provider Business Mailing Address
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Address Line | 172 ASHELAND AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4005
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Country | US
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Telephone | 828-254-7291
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Fax | 828-254-9487
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DENNIS R. CAMPBELL
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Credential | DDS
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Telephone | 828-254-7291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4837
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License Number State | NC
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