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General NPI Number Information
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NPI Number | 1194214106
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Entity Type | Organization
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Legal Business Name | CAMPBELL PSYCHIATRY PLLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 2722 N GREEN VALLEY PKWY UNIT 50476
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City | HENDERSON
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State | NV
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Zip | 89016-2021
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Country | US
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Telephone | 702-933-9135
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Fax | 702-829-6156
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Provider Business Mailing Address
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Address Line | PO BOX 50476
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City | HENDERSON
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State | NV
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Zip | 89016-0476
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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 | RACHEL HOPE CAMPBELL
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Credential | DO
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Telephone | 760-880-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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