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General NPI Number Information
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NPI Number | 1336228048
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Entity Type | Individual
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Provider Name | CHRISTINA CAMPAGNOLA LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 3000 STEVENS ST UNIT 15
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City | OCEANSIDE
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State | NY
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Zip | 11572-2039
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Country | US
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Telephone | 516-678-1855
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Fax | 516-442-5263
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Provider Business Mailing Address
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Address Line | 3000 STEVENS ST UNIT 15
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City | OCEANSIDE
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State | NY
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Zip | 11572-2039
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Country | US
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Telephone | 516-678-1855
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Fax | 516-442-5263
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R022358-1
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License Number State | NY
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