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General NPI Number Information
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NPI Number | 1649263641
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Entity Type | Individual
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Provider Name | WILLIAM KEITH CAMPBELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 63 MONTICELLO RD
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City | WEAVERVILLE
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State | NC
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Zip | 28787-0950
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Country | US
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Telephone | 828-645-3066
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Fax | 828-658-3944
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Provider Business Mailing Address
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Address Line | PO BOX 950
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City | WEAVERVILLE
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State | NC
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Zip | 28787-0950
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Country | US
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Telephone | 828-645-3066
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Fax | 828-658-3944
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0000-20774
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License Number State | NC
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