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General NPI Number Information
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NPI Number | 1477694685
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Entity Type | Organization
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Legal Business Name | JOHN CAMPBELL, INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1330 OLD FREEPORT RD SUITE 1BF
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City | PITTSBURGH
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State | PA
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Zip | 15238-4100
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Country | US
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Telephone | 412-963-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 OLD FREEPORT RD SUITE 1BF
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City | PITTSBURGH
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State | PA
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Zip | 15238-4100
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Country | US
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Telephone | 412-963-7464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN H CAMPBELL
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Credential | DC
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Telephone | 412-963-7464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC001357L
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License Number State | PA
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