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General NPI Number Information
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NPI Number | 1356520985
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Entity Type | Organization
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Legal Business Name | LESLIE CAMPBELL, D.P.M., P.A.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N SUITE 2240
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-5800
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Fax | 972-747-5831
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Provider Business Mailing Address
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Address Line | 1105 CENTRAL EXPY N SUITE 2240
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-5800
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Fax | 972-747-5831
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MS. LESLIE CAMPBELL
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Credential | D.P.M.
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Telephone | 972-747-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1014
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License Number State | TX
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