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General NPI Number Information
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NPI Number | 1205743994
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Entity Type | Individual
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Provider Name | MARSHALL THOMAS CAMPBELL LPC
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Gender | Male
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 205 S 5TH ST STE 22
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City | LEAVENWORTH
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State | KS
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Zip | 66048-2602
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Country | US
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Telephone | 913-565-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 427 N 83RD PL
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City | KANSAS CITY
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State | KS
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Zip | 66112-1917
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Country | US
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Telephone | 913-565-2131
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 05545
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License Number State | KS
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