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General NPI Number Information
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NPI Number | 1669709085
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Entity Type | Organization
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Legal Business Name | JOSEPH F CAMPANA MD ASSOCIATES INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 151 E 3RD ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6622
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Country | US
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Telephone | 570-323-7187
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Fax |
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Provider Business Mailing Address
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Address Line | 151 E 3RD ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6622
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Country | US
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Telephone | 570-323-7187
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Fax | 570-323-2189
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Authorized Official
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Title or Position | DOCTOR/PRES
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Name | DR. JOSEPH F CAMPANA
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Credential | MD
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Telephone | 570-323-7187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 207W00000X
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 207Y00000X
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License Number State | PA
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