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General NPI Number Information
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NPI Number | 1093136137
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Entity Type | Individual
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Provider Name | MR. DAVID COMPTON
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Gender | Male
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 109 NELSON DISTRICT RD
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City | YORKTOWN
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State | VA
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Zip | 23692-4651
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Country | US
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Telephone | 757-291-6976
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Fax | 757-969-5497
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Provider Business Mailing Address
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Address Line | 109 NELSON DISTRICT RD
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City | YORKTOWN
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State | VA
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Zip | 23692-4651
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Country | US
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Telephone | 757-291-6976
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Fax | 757-969-5497
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 2705137145
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 2705137145
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License Number State | VA
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