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General NPI Number Information
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NPI Number | 1982065843
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Entity Type | Individual
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Provider Name | MEGAN CAMPBELL M.S., A.T.C., C.E.S.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 195 GOLDEN BEAR DR
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City | NEW CUMBERLAND
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State | WV
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Zip | 26047-1672
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Country | US
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Telephone | 330-383-1933
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Fax |
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Provider Business Mailing Address
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Address Line | 47201 CALCUTTA SMITHFERRY RD
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9004
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Country | US
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Telephone | 330-383-1933
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT001347
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.004242
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License Number State | OH
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