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General NPI Number Information
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NPI Number | 1376420315
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Entity Type | Individual
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Provider Name | MADELINE CAMPBELL PT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 13481 W MCDOWELL RD STE 300
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City | GOODYEAR
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State | AZ
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Zip | 85395-2724
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Country | US
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Telephone | 623-536-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 14422 RAYNHAM DR
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City | CHARLOTTE
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State | NC
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Zip | 28262-0414
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Country | US
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Telephone | 704-793-7986
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034282
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License Number State | AZ
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