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General NPI Number Information
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NPI Number | 1770529190
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Entity Type | Individual
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Provider Name | MELVIN ALLEN CAMPBELL MD FACP
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Gender | Male
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 913 E ZERO ST
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City | AINSWORTH
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State | NE
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Zip | 69210-0287
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Country | US
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Telephone | 402-387-1900
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Fax | 402-387-0139
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | AINSWORTH
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State | NE
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Zip | 69210-0287
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Country | US
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Telephone | 402-387-1900
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Fax | 402-387-0139
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12836
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License Number State | NE
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