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General NPI Number Information
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NPI Number | 1689631285
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Entity Type | Individual
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Provider Name | JOHN CAMPBELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2001 N JEFFERSON AVE
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2338
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Country | US
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Telephone | 903-577-6000
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Fax | 903-577-6245
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Provider Business Mailing Address
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Address Line | 1701 OAKMONT CIR
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City | LONGVIEW
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State | TX
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Zip | 75605-2660
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | K6754
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License Number State | TX
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