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General NPI Number Information
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NPI Number | 1811166119
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Entity Type | Individual
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Provider Name | PAULA Y CAMPBELL CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 100 CALLEN BLVD
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City | SUMMERVILLE
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State | SC
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Zip | 29486
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Country | US
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Telephone | 843-529-3100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1245
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City | ORANGEBURG
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State | SC
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Zip | 29116-1245
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Country | US
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Telephone | 803-395-2200
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 78459
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License Number State | SC
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