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General NPI Number Information
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NPI Number | 1245128214
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Entity Type | Organization
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Legal Business Name | CAMPBELL CLINIC PC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 423 SEWELL DR
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City | SPARTA
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State | TN
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Zip | 38583-1223
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Country | US
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Telephone | 931-526-9518
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S GERMANTOWN RD
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City | GERMANTOWN
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State | TN
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Zip | 38138-2205
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Country | US
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Telephone | 901-759-5595
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL SHUMATE
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Credential |
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Telephone | 901-759-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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