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General NPI Number Information
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NPI Number | 1841084795
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Entity Type | Organization
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Legal Business Name | ANGELIQUE CAMPEN MD INC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 5325 ANITA ST
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City | DALLAS
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State | TX
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Zip | 75206-5333
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Country | US
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Telephone | 323-788-3409
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SANDPIPER STRAND
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City | CORONADO
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State | CA
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Zip | 92118-3211
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Country | US
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Telephone | 323-788-3409
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ANGELIQUE CAMPEN
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Credential | MD
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Telephone | 323-788-3409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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