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General NPI Number Information
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NPI Number | 1457915175
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Entity Type | Individual
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Provider Name | CHRISTOPHER CAMPBELL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 17935 N PENNSYLVANIA AVE STE 201B
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City | EDMOND
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State | OK
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Zip | 73012-9288
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Country | US
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Telephone | 405-285-2110
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Fax | 405-216-3362
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Provider Business Mailing Address
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Address Line | 3101 CEDAR SPRINGS CT
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City | ARCADIA
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State | OK
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Zip | 73007-7547
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Country | US
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Telephone | 405-850-0542
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1229
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License Number State | OK
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