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General NPI Number Information
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NPI Number | 1497359855
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Entity Type | Individual
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Provider Name | MARGO GELETY CAMPBELL ATC, LAT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | BLDG FC 332 MCB CAMP LEJEUNE
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547
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Country | US
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Telephone | 910-451-8526
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Fax |
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Provider Business Mailing Address
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Address Line | 733 LAKE TYLER DR
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City | NEW BERN
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State | NC
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Zip | 28560-4155
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Country | US
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Telephone | 919-337-6213
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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 | 4681
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License Number State | NC
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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 | LAT-4681
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License Number State | NC
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