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General NPI Number Information
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NPI Number | 1982670857
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Entity Type | Individual
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Provider Name | ROBERT J CAMPBELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 300 MOUNT AUBURN ST SUITE 310
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5600
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Country | US
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Telephone | 617-497-1560
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Fax | 617-497-1109
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Provider Business Mailing Address
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Address Line | 300 MOUNT AUBURN ST SUITE 310
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5600
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Country | US
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Telephone | 617-497-1560
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Fax | 617-497-1109
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 54211
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License Number State | MA
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