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General NPI Number Information
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NPI Number | 1245983337
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Entity Type | Individual
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Provider Name | LISA HANNAH ALLEN-CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | THE SPRINGS AT LAFAYETTE 2402 SOUTH STREET
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City | LAFAYETTE
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State | IN
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Zip | 47904
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Country | US
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Telephone | 765-340-8125
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 HIDDEN LAKE CT
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City | FISHERVILLE
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State | KY
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Zip | 40023-9786
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Country | US
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Telephone | 502-619-1417
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1082718
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License Number State | KY
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