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General NPI Number Information
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NPI Number | 1740197425
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Entity Type | Individual
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Provider Name | NORA CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 859 S YELLOWSTONE HWY STE 202
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City | REXBURG
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State | ID
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Zip | 83440-5294
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Country | US
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Telephone | 307-257-5487
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Fax |
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Provider Business Mailing Address
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Address Line | 555 W MIKAN DR APT 12210
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City | REXBURG
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State | ID
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Zip | 83440-8056
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Country | US
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Telephone | 385-777-9085
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-2841339
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License Number State |
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