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General NPI Number Information
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NPI Number | 1497213649
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Entity Type | Individual
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Provider Name | DONALD ALEXANDER CAMPBELL MD
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Gender | Male
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 676 FUTENMA
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City | FPO AP
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State | OKINAWA
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Zip | 96362
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Country | JP
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Telephone | 98-971-9355
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Fax |
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Provider Business Mailing Address
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Address Line | 620 JOHN PAUL JONES CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23708-2197
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Country | US
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Telephone |
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 0101270269
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101270269
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License Number State | VA
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