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General NPI Number Information
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NPI Number | 1417834185
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Entity Type | Individual
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Provider Name | KIM M CAMPBELL AGPC NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 1815 WILLIAMS RD
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City | MONROE
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State | NC
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Zip | 28110-8504
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Country | US
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Telephone | 980-699-5276
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Fax |
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Provider Business Mailing Address
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Address Line | 416 DOSTER RD
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City | LANCASTER
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State | SC
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Zip | 29720-7400
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Country | US
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Telephone | 980-699-5276
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG08250023
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License Number State | NC
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