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General NPI Number Information
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NPI Number | 1679563175
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Entity Type | Individual
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Provider Name | CASSANDRA ELIZABETH CAMPBELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 145 N 6TH ST
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City | READING
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State | PA
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Zip | 19601-3096
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Country | US
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Telephone | 610-208-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 145 N 6TH STREET 2ND FL
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City | READING
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State | PA
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Zip | 19603-3096
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Country | US
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Telephone | 610-208-4543
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Fax | 610-378-2441
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | R55819
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP017265
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License Number State | PA
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