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General NPI Number Information
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NPI Number | 1104012095
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Entity Type | Organization
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Legal Business Name | MICHAEL R COMPTON D.C.,P.C.
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 03/01/2008
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Provider Practice Location Address
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Address Line | 2686 HUNTSVILLE HWY SUITE C
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-7647
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Country | US
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Telephone | 931-433-0067
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Fax | 931-433-9005
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Provider Business Mailing Address
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Address Line | 2686 HUNTSVILLE HWY SUITE C
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-7647
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Country | US
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Telephone | 931-433-0067
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Fax | 931-433-9005
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL RAY COMPTON
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Credential | D.C.
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Telephone | 931-433-0067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2187
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License Number State | TN
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