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General NPI Number Information
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NPI Number | 1215953310
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Entity Type | Individual
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Provider Name | ROBERT S CAMPBELL PA
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 12207 PECOS ST #300
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City | WESTMINSTER
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State | CO
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Zip | 80031-3400
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Country | US
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Telephone | 303-650-0445
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Fax | 303-429-5088
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Provider Business Mailing Address
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Address Line | 720 S COLORADO BLVD SUITE 220A
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City | GLENDALE
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State | CO
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Zip | 80246-1912
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Country | US
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Telephone | 303-584-8231
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Fax | 866-210-0907
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 46
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License Number State | CO
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