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General NPI Number Information
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NPI Number | 1942178165
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Entity Type | Organization
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Legal Business Name | HOLLIE AND BRYON CAMPBELL NP IN PEDIATRICS AND PA PLLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 60 BARRETT DR
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City | WEBSTER
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State | NY
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Zip | 14580-2963
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Country | US
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Telephone | 585-872-1003
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Fax | 585-872-1004
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Provider Business Mailing Address
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Address Line | 7 TEFT AVE
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1120
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Country | US
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Telephone | 585-260-2016
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Fax |
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Authorized Official
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Title or Position | OWNER, NP
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Name | HOLLIE ELIZABETH CAMPBELL
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Credential | NP
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Telephone | 585-872-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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