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General NPI Number Information
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NPI Number | 1871965459
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Entity Type | Organization
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Legal Business Name | THOMAS E. CAMPBELL CONSTRUCTION
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 605 S CLINTON ST 8A
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City | DENVER
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State | CO
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Zip | 80247-1586
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Country | US
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Telephone | 720-377-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 605 S CLINTON ST 8A
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City | DENVER
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State | CO
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Zip | 80247-1586
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Country | US
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Telephone | 720-377-6018
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THOMAS EUGENE CAMPBELL
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Credential |
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Telephone | 720-377-6018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 2013-790671 01 SL
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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