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General NPI Number Information
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NPI Number | 1619690138
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Entity Type | Individual
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Provider Name | ZACHARY CAMPBELL AGPCNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 442 METROPLEX DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37211-3112
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Country | US
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Telephone | 615-499-7406
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Fax | 833-968-2944
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Provider Business Mailing Address
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Address Line | 409 BLAIR LN
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City | LEBANON
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State | TN
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Zip | 37087-3158
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Country | US
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Telephone | 615-390-0926
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 32405
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License Number State | TN
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