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General NPI Number Information
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NPI Number | 1912904871
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Entity Type | Individual
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Provider Name | ANN M CAMPBELL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 9492 DOUBLE R BLVD STE A STE. A
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City | RENO
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State | NV
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Zip | 89521-4820
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Country | US
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Telephone | 775-853-1999
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Fax | 775-852-1935
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Provider Business Mailing Address
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Address Line | 9492 DOUBLE R BLVD STE. A
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City | RENO
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State | NV
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Zip | 89521-5977
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Country | US
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Telephone | 775-853-1999
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Fax | 775-852-1935
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4420
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 48433
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License Number State | CA
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