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General NPI Number Information
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NPI Number | 1548381296
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Entity Type | Individual
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Provider Name | DARLA LYNN CAMPBELL OTRL
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2501 MERCER DR
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City | ENID
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State | OK
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Zip | 73701-8602
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Country | US
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Telephone | 580-233-0650
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Fax | 580-249-5999
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Provider Business Mailing Address
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Address Line | 2717 LIBERTY LN
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City | ENID
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State | OK
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Zip | 73703-1315
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Country | US
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Telephone | 580-747-5036
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1404
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License Number State | OK
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