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General NPI Number Information
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NPI Number | 1205899838
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Entity Type | Organization
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Legal Business Name | EMMETT E CAMPBELL MD PC
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-742-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 520 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-5801
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Country | US
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Telephone | 516-742-0220
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. EMMETT E CAMPBELL
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Credential | M.D.
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Telephone | 516-742-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0837151
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License Number State | NY
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