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General NPI Number Information
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NPI Number | 1568641892
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Entity Type | Individual
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Provider Name | ERIC E CAMPBELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 34740 VIA CARNAGHI
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City | WILDOMAR
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State | CA
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Zip | 92595-7746
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Country | US
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Telephone | 800-681-0413
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Fax | 951-674-1111
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | WILDOMAR
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State | CA
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Zip | 92595-0639
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Country | US
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Telephone | 800-681-0413
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Fax | 951-674-1111
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 22977
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License Number State | CA
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