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General NPI Number Information
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NPI Number | 1285504001
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Entity Type | Individual
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Provider Name | TARA ELIZABETH CAMPBELL RD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 25 HACKETT BLVD
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City | ALBANY
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State | NY
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Zip | 12208-3462
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Country | US
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Telephone | 518-262-5185
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N MOHAWK ST APT 2308
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City | COHOES
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State | NY
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Zip | 12047-1751
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Country | US
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Telephone | 631-655-7662
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 013173
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License Number State | NY
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