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General NPI Number Information
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NPI Number | 1801169131
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Entity Type | Organization
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Legal Business Name | KAREN MICHELLE CAMPBELL PLLC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 700 E MARSHALL AVE
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City | LONGVIEW
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State | TX
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Zip | 75601-5580
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Country | US
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Telephone | 903-315-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2626
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City | FORT WORTH
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State | TX
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Zip | 76113-2626
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Country | US
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Telephone | 817-294-7444
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Fax | 817-294-7172
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Authorized Official
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Title or Position | OWNER
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Name | KAREN MICHELLE CAMPBELL
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Credential | RNFA
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Telephone | 817-294-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 677901
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License Number State | TX
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