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General NPI Number Information
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NPI Number | 1659269728
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Entity Type | Individual
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Provider Name | CHRISTIAN CHARLES CAMPBELL MSOT, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 100 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4836
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Country | US
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Telephone | 302-651-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BELMONT BLVD
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City | SEWELL
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State | NJ
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Zip | 08080-2430
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Country | US
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Telephone | 856-473-1667
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | U1-0012705
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License Number State | DE
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