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General NPI Number Information
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NPI Number | 1881035889
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Entity Type | Individual
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Provider Name | RAY LEWIS CAMPO JR. FNP
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Gender | Male
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 61159 W SPRINGMILL DR
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City | LACOMBE
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State | LA
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Zip | 70445-3033
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Country | US
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Telephone | 985-882-6739
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Fax |
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Provider Business Mailing Address
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Address Line | 61159 W. SPRINGMILL DRIVE
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City | LACOMBE
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State | LA
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Zip | 70445
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Country | US
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Telephone | 985-882-6739
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Fax | 985-882-6739
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07349
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License Number State | LA
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