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General NPI Number Information
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NPI Number | 1487307815
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Entity Type | Individual
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Provider Name | BROOKE ELISABETH CAMPBELL RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 63 SHAKER RD STE 203
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City | ALBANY
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State | NY
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Zip | 12204-1030
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Country | US
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Telephone | 844-443-2563
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Fax |
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Provider Business Mailing Address
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Address Line | 60 ACADEMY RD
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City | ALBANY
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State | NY
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Zip | 12208-3103
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Country | US
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Telephone | 518-426-2745
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Fax | 518-426-2638
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 407078
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License Number State | NY
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