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General NPI Number Information
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NPI Number | 1811976343
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Entity Type | Individual
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Provider Name | KRISTIE DAWN CAMPBELL PHARM D
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Gender | Female
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 315 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-4234
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Country | US
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Telephone | 253-403-1077
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Fax |
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Provider Business Mailing Address
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Address Line | 18004 121ST AVE E
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City | PUYALLUP
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State | WA
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Zip | 98374-9580
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Country | US
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Telephone | 360-893-3621
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Fax | 360-893-3621
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH00051430
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License Number State | WA
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