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General NPI Number Information
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NPI Number | 1699623967
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Entity Type | Individual
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Provider Name | JOSEPH ROBERT CAMPBELL
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Gender | Male
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 11680 S 153RD WEST AVE
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City | SAPULPA
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State | OK
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Zip | 74066-8564
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Country | US
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Telephone | 918-512-6273
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Fax |
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Provider Business Mailing Address
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Address Line | 11680 S 153RD WEST AVE
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City | SAPULPA
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State | OK
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Zip | 74066-8564
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Country | US
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Telephone | 918-512-6273
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | OK
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