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General NPI Number Information
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NPI Number | 1386178077
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Entity Type | Organization
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Legal Business Name | CAMPBELL3, LLC
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 418 CROSSBOW DR
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City | NEW STANTON
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State | PA
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Zip | 15672-9485
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Country | US
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Telephone | 724-322-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 418 CROSSBOW DR
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City | NEW STANTON
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State | PA
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Zip | 15672-9485
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Country | US
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Telephone | 724-322-1043
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MS. DENISE CAMPBELL
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Credential | MSPH
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Telephone | 724-322-1043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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