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General NPI Number Information
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NPI Number | 1033032933
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Entity Type | Individual
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Provider Name | AMELIA DREW LANGEN RDH
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Gender | Female
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 11863 STATE HIGHWAY 13
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City | KIMBERLING CITY
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State | MO
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Zip | 65686-8362
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Country | US
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Telephone | 417-739-1995
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Fax | 417-739-1893
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Provider Business Mailing Address
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Address Line | 1059 BARTON DR
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City | FORDLAND
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State | MO
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Zip | 65652-7350
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Country | US
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Telephone | 417-767-2273
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Fax | 417-767-4054
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2026019045
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License Number State | MO
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