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General NPI Number Information
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NPI Number | 1417269085
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Entity Type | Individual
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Provider Name | LIZA MARIE CAMPBELL DC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 3880 E 3RD ST STE C
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City | BLOOMINGTON
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State | IN
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Zip | 47401-5526
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Country | US
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Telephone | 765-265-0086
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Fax | 855-796-5605
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Provider Business Mailing Address
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Address Line | PO BOX 608
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City | BEDFORD
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State | IN
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Zip | 47421-0608
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Country | US
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Telephone | 812-275-4419
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Fax | 812-275-8044
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002520A
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License Number State | IN
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