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1700897030 NPI number — PETER LAWRENCE CAMPBELL M.D.

NPI Number: 1700897030
Health Care Provider/Practitioner: PETER LAWRENCE CAMPBELL M.D.

Information about “1700897030” NPI (PETER LAWRENCE CAMPBELL M.D.) exists in 1700897030 in HTML format HTML  |  1700897030 in plain Text format TXT  |  1700897030 in PDF (Portable Document Format) PDF  |  1700897030 in an XML format XML  formats.

NPI Number : 1700897030 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700897030",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CAMPBELL",
    "FirstName": "PETER",
    "MiddleName": "LAWRENCE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 2668",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22152-0668",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-492-9961",
    "MailingAddressFaxNumber": "703-497-1225",
    "FirstLinePracticeLocationAddress": "12721 DARBY BROOK CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WOODBRIDGE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22192-2408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-492-9961",
    "PracticeLocationAddressFaxNumber": "703-497-1225",
    "EnumerationDate": "08/11/2006",
    "LastUpdateDate": "05/01/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "0101029943",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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