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General NPI Number Information
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NPI Number | 1801342092
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Entity Type | Individual
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Provider Name | KEVIN D CAMPANALE DPT
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Gender | Male
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2 WORLDS FAIR DR
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City | SOMERSET
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State | NJ
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Zip | 08873-1369
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Country | US
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Telephone | 732-537-0909
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Fax | 732-564-9032
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Provider Business Mailing Address
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Address Line | 16 MC INTIRE DR
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-2243
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Country | US
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Telephone | 908-938-2497
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01678500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT033279
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License Number State | PA
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