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General NPI Number Information
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NPI Number | 1417410580
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Entity Type | Individual
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Provider Name | TAMMIE T CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 04/07/2019
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Last Update Date | 04/07/2019
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Provider Practice Location Address
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Address Line | 1826 VETERANS BLVD
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-272-1210
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Fax | 478-277-2710
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Provider Business Mailing Address
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Address Line | 1359 DAVID MULLIS RD
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City | RENTZ
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State | GA
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Zip | 31075-3262
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Country | US
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Telephone | 478-290-3626
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Fax | 478-277-2710
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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 | 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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