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General NPI Number Information
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NPI Number | 1881296010
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Entity Type | Individual
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Provider Name | AIMI CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 826 N 100 E STE 1A
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City | SPANISH FORK
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State | UT
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Zip | 84660-1241
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Country | US
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Telephone | 801-515-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 625 N 600 W APT 7
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City | PROVO
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State | UT
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Zip | 84601-1446
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11921525-3904
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License Number State | UT
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