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General NPI Number Information
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NPI Number | 1407120843
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Entity Type | Individual
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Provider Name | CURTIS WAYNE CAMPBELL LCSW, LSCSW
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Gender | Male
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 119 NE 72ND ST
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City | GLADSTONE
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State | MO
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Zip | 64118-1826
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Country | US
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Telephone | 816-872-6656
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Fax | 816-420-8710
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Provider Business Mailing Address
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Address Line | 5119 NW 85TH ST
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City | KANSAS CITY
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State | MO
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Zip | 64154-2793
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Country | US
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Telephone | 816-872-6656
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Fax | 164-208-7108
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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 | 4377
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2014040947
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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