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General NPI Number Information
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NPI Number | 1972565083
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Entity Type | Individual
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Provider Name | KRISTEN CAMPBELL DO
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Gender | Female
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 102 TECHNOLOGY DR STE 102
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City | BUTLER
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State | PA
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Zip | 16001-1784
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Country | US
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Telephone | 724-234-3581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | MARS
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State | PA
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Zip | 16046-0990
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS012224
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License Number State | PA
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