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General NPI Number Information
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NPI Number | 1770123689
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Entity Type | Individual
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Provider Name | CASEY CAMPBELL DC
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Gender | Female
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 06/29/2025
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Provider Practice Location Address
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Address Line | 2630 77TH AVE SE STE 102
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City | MERCER ISLAND
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State | WA
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Zip | 98040-3085
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Country | US
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Telephone | 206-946-1192
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700688
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City | SAN ANTONIO
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State | TX
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Zip | 78270-0688
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Country | US
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Telephone | 800-404-6050
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Fax | 866-313-3397
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0008134
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC36135
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15193
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 15193
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH61489169
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License Number State | WA
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