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NPI 1235161555

NPI 1235161555 : RONALD K. CAMPBELL O.D. : SYLVA, NC

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General NPI Number Information
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    NPI Number           |    1235161555
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD K. CAMPBELL O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2006
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    Last Update Date     |    10/19/2016
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Provider Practice Location Address
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    Address Line         |    210 WALMART PLZ SUITE 5
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    City                 |    SYLVA
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    State                |    NC
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    Zip                  |    28779-5866
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    Country              |    US
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    Telephone            |    828-631-0903
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1071 
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    City                 |    FRANKLIN
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    State                |    NC
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    Zip                  |    28744-1071
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    Country              |    US
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    Telephone            |    828-631-0903
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    Fax                  |    828-586-3386
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    1359
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    License Number State |    NC
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