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NPI 1093366122

NPI 1093366122 : CLAIRE TOMPKINS PA-C : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1093366122
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    Entity Type          |    Individual 
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    Provider Name        |    CLAIRE TOMPKINS PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2019
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    7550 W YALE AVE STE B100 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80227-3460
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    Country              |    US
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    Telephone            |    303-935-4689
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    Fax                  |    912-623-2156
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35380 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-5380
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    Country              |    US
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    Telephone            |    303-763-4900
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    9431
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA.0007065
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    License Number State |    CO
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