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NPI Code Detail

MEDICARE: BENAE A CAMPBELL

MEDICARE: BENAE A CAMPBELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1306702808
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENAE A CAMPBELL
Provider Business Mailing Address
First Line : 3689 LYNNFIELD RD APT F10
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5111
Country : US
Telephone Number : 216-466-3675
Fax Number :
Provider Business Practice Location Address
First Line : 26055 EMERY RD STE K
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-6211
Country : US
Telephone Number : 216-466-3675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ BENAE A CAMPBELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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