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General NPI Number Information
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NPI Number | 1215083720
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Entity Type | Organization
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Legal Business Name | ANH CAMPBELL
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5215 MONTICELLO AVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-8213
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Country | US
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Telephone | 757-229-1440
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Fax | 757-253-7590
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Provider Business Mailing Address
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Address Line | 5215 MONTICELLO AVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-8213
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Country | US
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Telephone | 757-229-1440
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Fax | 757-253-7590
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CORDELIA R DUDEK
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Credential |
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Telephone | 423-899-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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