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General NPI Number Information
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NPI Number | 1790227221
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Entity Type | Organization
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Legal Business Name | LAUREN S CAMPBELL MD PA
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 310 PAUL REVERE DR
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City | HOUSTON
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State | TX
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Zip | 77024-6111
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Country | US
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Telephone | 713-505-5324
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Fax |
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Provider Business Mailing Address
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Address Line | 27700 NORTHWEST FREEWAY SUITE 490
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City | CYPRESS
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State | TX
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Zip | 77433-6766
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Country | US
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Telephone | 281-895-3376
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PHYSICIAN
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Name | DR. LAUREN SUZANNE CAMPBELL
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Credential | M.D.
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Telephone | 832-455-9822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | N6207
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License Number State | TX
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