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General NPI Number Information
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NPI Number | 1760520134
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Entity Type | Individual
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Provider Name | KATHLEEN MARIE CAMPBELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4800 FRIENDSHIP AVE
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City | PITTSBURGH
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State | PA
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Zip | 15224-1722
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Country | US
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Telephone | 412-578-5326
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Fax | 412-578-3515
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Provider Business Mailing Address
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Address Line | 1718 OHIO AVE
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City | MCKEESPORT
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State | PA
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Zip | 15131-2134
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Country | US
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Telephone | 412-672-2307
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | UP001254J
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License Number State | PA
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