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General NPI Number Information
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NPI Number | 1780300228
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Entity Type | Individual
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Provider Name | BRITTANY ROBIN CAMPBELL CNA 1 & 2
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Gender | Female
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 4614 ROUNTREE RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-8746
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Country | US
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Telephone | 252-702-9216
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 GENTLE BREEZE DR
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City | GREENVILLE
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State | NC
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Zip | 27834-9571
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Country | US
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Telephone | 252-375-9507
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 36130675
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License Number State | NC
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