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General NPI Number Information
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NPI Number | 1669716205
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Entity Type | Organization
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Legal Business Name | CAMPBELL UNIVERSITY INC
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Dates
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Enumeration Date | 11/20/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 5050 SPRING VALLEY RD
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City | DALLAS
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State | TX
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Zip | 75244-3995
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Country | US
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Telephone | 972-367-4820
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Fax | 972-367-3451
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Provider Business Mailing Address
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Address Line | 73 EAKES DRIVE MCLEOD ATHLETIC TRAINING FACILIATY
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City | LILLINGTON
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State | NC
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Zip | 27546
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Country | US
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Telephone | 910-814-5455
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Fax | 910-893-1283
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Authorized Official
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Title or Position | VP FOR BUSINESS AND TREASURER
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Name | JAMES O ROBERTS
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Credential |
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Telephone | 910-893-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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