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General NPI Number Information
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NPI Number | 1568027886
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Entity Type | Individual
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Provider Name | WENDY MAXINE HARRISON-CAMPBELL FNP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 931 VILLAGE BLVD STE 904
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1939
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Country | US
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Telephone | 561-683-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 N FLORIDA MANGO RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6416
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Country | US
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Telephone | 561-683-0302
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Fax | 561-683-9823
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030869
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11001689
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License Number State | FL
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