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General NPI Number Information
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NPI Number | 1578681128
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Entity Type | Individual
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Provider Name | LINDA LOUISE CAMPBELL MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | DOROTHEA DIX HOSPITAL WILLIAMS BUILDING 3601 MSC CENTER
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City | RALEIGH
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State | NC
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Zip | 27699-3601
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Country | US
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Telephone | 919-733-6355
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Fax |
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Provider Business Mailing Address
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Address Line | 612 PENDLETON LAKE RD
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City | RALEIGH
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State | NC
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Zip | 27614-9093
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Country | US
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Telephone | 919-845-5583
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C000266
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License Number State | NC
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