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General NPI Number Information
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NPI Number | 1912656018
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Entity Type | Individual
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Provider Name | AMELIA MARIE CAMPBELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 4430 MISSOURI AVE
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City | FORT LEONARD WOOD
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State | MO
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Zip | 65473-9098
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Country | US
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Telephone | 573-596-1490
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Fax |
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Provider Business Mailing Address
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Address Line | 24519 TRUE DR
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City | SAINT ROBERT
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State | MO
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Zip | 65584-3802
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Country | US
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Telephone | 920-495-2251
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2025037592
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License Number State | MO
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