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General NPI Number Information
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NPI Number | 1780868240
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Entity Type | Individual
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Provider Name | DEBBIE L CAMPBELL M.A.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 1732 DEER LN
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City | LOUISVILLE
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State | KY
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Zip | 40205-1218
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Country | US
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Telephone | 502-802-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 1732 DEER LN
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City | LOUISVILLE
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State | KY
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Zip | 40205-1218
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Country | US
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Telephone | 502-802-9322
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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