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General NPI Number Information
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NPI Number | 1386552545
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Entity Type | Individual
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Provider Name | ALLAYNA CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 205 STATE HIGHWAY P
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City | POTOSI
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State | MO
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Zip | 63664-8486
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Country | US
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Telephone | 573-438-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 904 GLENCOE
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City | PARK HILLS
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State | MO
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Zip | 63601-1931
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Country | US
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Telephone | 573-327-8555
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2025019791
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License Number State | MO
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