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General NPI Number Information
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NPI Number | 1518836477
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Entity Type | Individual
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Provider Name | MADYLIN CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 12110 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2516
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Country | US
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Telephone | 314-989-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1146 N GEYER RD
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City | KIRKWOOD
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State | MO
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Zip | 63122-1134
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Country | US
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Telephone | 314-825-8188
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2024022647
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License Number State | MO
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