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General NPI Number Information
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NPI Number | 1598781502
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Entity Type | Organization
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Legal Business Name | JOHN B. CAMPBELL, M.D., INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 9292 CHESAPEAKE DR
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City | SAN DIEGO
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State | CA
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Zip | 92123-1059
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Country | US
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Telephone | 858-576-9960
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Fax | 858-576-6857
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Provider Business Mailing Address
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Address Line | 9292 CHESAPEAKE DR
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City | SAN DIEGO
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State | CA
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Zip | 92123-1059
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Country | US
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Telephone | 858-576-9960
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Fax | 858-576-6857
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOHN B. CAMPBELL
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Credential | M.D.
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Telephone | 858-576-9960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | G43165
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License Number State | CA
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