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General NPI Number Information
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NPI Number | 1952358483
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Entity Type | Organization
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Legal Business Name | ALTOONA ENDOCRINE SERVICES, L.L.C
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 615 HOWARD AVE SUITE 106
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City | ALTOONA
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State | PA
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Zip | 16601-4813
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Country | US
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Telephone | 814-949-2950
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Fax | 814-949-2960
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Provider Business Mailing Address
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Address Line | 615 HOWARD AVE SUITE 106
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City | ALTOONA
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State | PA
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Zip | 16601-4813
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Country | US
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Telephone | 814-949-2950
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Fax | 814-949-2960
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARK CHRISTOPHER CAMPBELL
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Credential | M.D.
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Telephone | 814-949-2950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD419670
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License Number State | PA
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