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General NPI Number Information
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NPI Number | 1407397342
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Entity Type | Individual
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Provider Name | MEGHAN CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 03/11/2017
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Last Update Date | 10/14/2023
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Provider Practice Location Address
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Address Line | 305 LANGDON ST
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City | SOMERSET
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State | KY
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Zip | 42503-2750
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Country | US
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Telephone | 606-679-7441
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Fax |
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Provider Business Mailing Address
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Address Line | 228 W 12TH ST APT 9
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City | ELMIRA HEIGHTS
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State | NY
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Zip | 14903-1557
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Country | US
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Telephone | 814-598-5607
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04641
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License Number State | KY
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