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General NPI Number Information
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NPI Number | 1720183965
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Entity Type | Individual
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Provider Name | SCOTT KERWIN CAMPBELL NP
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5734 CANYON VIEW DR
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City | PARADISE
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State | CA
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Zip | 95969-5503
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Country | US
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Telephone | 530-876-7995
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Fax | 530-876-2159
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Provider Business Mailing Address
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Address Line | 3029 COACH LITE DR
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City | CHICO
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State | CA
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Zip | 95973-9151
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Country | US
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Telephone | 530-876-7995
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Fax | 530-876-2159
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP9315
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License Number State | CA
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