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NPI Code Detail

MEDICARE: MR. CLAUDE ANTHONY TOMPKINS LICENSED HAIR STYLIS

MEDICARE:  MR. CLAUDE ANTHONY TOMPKINS  LICENSED HAIR STYLIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744P3200XProsthetics Case Management446969MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11744P32000XOTHERMDCERTIFIED HAIR LOSS SPECIALISTS

General Provider Information

NPI Number : 1912410457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLAUDE ANTHONY TOMPKINS LICENSED HAIR STYLIS
Provider Business Mailing Address
First Line : 2004 WOLF ST
Second Line :
City : FT WASHINGTON
State : MD
Zip : 20744-3274
Country : US
Telephone Number : 240-413-1367
Fax Number :
Provider Business Practice Location Address
First Line : 4620 SAINT BARNABAS RD STE A
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-1914
Country : US
Telephone Number : 240-413-1367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2017
Last Update Date : 11/07/2017

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Directions to “ MR. CLAUDE ANTHONY TOMPKINS LICENSED HAIR STYLIS” Practice Location

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