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General NPI Number Information
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NPI Number | 1881911378
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Entity Type | Individual
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Provider Name | WILLIAM T CAMPBELL M.A.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 4125 SOMERSET DR
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5242
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Country | US
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Telephone | 913-642-3311
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Fax | 913-341-2654
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Provider Business Mailing Address
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Address Line | 4125 SOMERSET DR
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5242
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Country | US
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Telephone | 913-642-3311
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Fax | 913-341-2654
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | CE612
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 000541
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License Number State | MO
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