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General NPI Number Information
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NPI Number | 1255821294
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Entity Type | Individual
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Provider Name | WILLIAM D. CAMPAGNA PHD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 1220 STATE ROUTE 31 STE. 19
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City | LEBANON
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State | NJ
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Zip | 08833
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Country | US
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Telephone | 908-735-8300
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Fax | 908-735-8766
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Provider Business Mailing Address
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Address Line | 1220 STATE ROUTE 31 STE. 19
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City | LEBANON
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State | NJ
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Zip | 08833
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Country | US
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Telephone | 908-735-8300
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Fax | 908-735-8766
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2928PYPY
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | SI001659
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License Number State | NJ
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