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General NPI Number Information
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NPI Number | 1174245963
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Entity Type | Individual
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Provider Name | TRANICEIA CAMPBELL CNA, LMT, RMP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3701 CONNECTICUT AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20008-4556
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Country | US
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Telephone | 202-237-7681
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 13TH ST NW UNIT 2
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City | WASHINGTON
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State | DC
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Zip | 20010-2694
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Country | US
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Telephone | 202-400-5796
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT200001397
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | R03765
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NA0000813390
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License Number State | DC
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