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General NPI Number Information
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NPI Number | 1447788310
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Entity Type | Individual
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Provider Name | BRENDAN CAMPBELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 325 WOOD RD
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City | BRAINTREE
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State | MA
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Zip | 02184-2413
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Country | US
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Telephone | 617-299-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 7 JORDAN DR
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City | WEYMOUTH
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State | MA
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Zip | 02190-2614
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Country | US
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Telephone | 360-649-1906
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 288110
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License Number State | MA
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