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General NPI Number Information
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NPI Number | 1477168516
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Entity Type | Individual
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Provider Name | RACHEL CAMPAGNA MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 5758 S MARYLAND AVE # 5C
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City | CHICAGO
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State | IL
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Zip | 60637-1426
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Country | US
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Telephone | 773-834-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 820 S. WOOD ST. CSN M/C 808 DEPT OB/GYN, 2ND FLOOR
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-413-4716
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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 | 207SG0203X
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Taxonomy Name | Clinical Molecular Genetics Physician
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License Number | 247.000142
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License Number State | IL
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