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General NPI Number Information
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NPI Number | 1225929078
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Entity Type | Individual
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Provider Name | RYAN LEE CAMPBELL
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Gender | Male
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 7440 N ORACLE RD BLDG 7
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City | TUCSON
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State | AZ
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Zip | 85704-6385
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Country | US
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Telephone | 520-815-7991
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Fax |
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Provider Business Mailing Address
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Address Line | 9752 N RUSCHIA AVE
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City | MARANA
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State | AZ
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Zip | 85653-0030
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Country | US
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Telephone | 480-201-2442
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-16384
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License Number State | AZ
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