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General NPI Number Information
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NPI Number | 1497719223
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Entity Type | Individual
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Provider Name | LANCE CURTIS CAMPBELL CRNA
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 336 DEERFIELD RD WATAUGA MEDICAL CENTER
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City | BOONE
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State | NC
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Zip | 28607-5008
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Country | US
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Telephone | 828-262-4256
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 GREEN HILL RD
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City | BLOWING ROCK
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State | NC
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Zip | 28605-8216
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Country | US
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Telephone | 828-295-6382
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 152295
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License Number State | NC
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