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NPI 1831620400

NPI 1831620400 : STEPHANIE N. CAMPBELL DPM : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1831620400
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE N. CAMPBELL DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2017
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    Last Update Date     |    11/14/2024
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Provider Practice Location Address
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    Address Line         |    9901 CALIFORNIA RD 
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78521-6135
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    Country              |    US
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    Telephone            |    956-296-1681
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    Fax                  |    956-296-1680
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Provider Business Mailing Address
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    Address Line         |    PO BOX 531968 
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    City                 |    HARLINGEN
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    State                |    TX
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    Zip                  |    78553-1968
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    Country              |    US
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    Telephone            |    833-887-4863
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    3180
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    3180
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    License Number State |    TX
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