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General NPI Number Information
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NPI Number | 1104068907
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Entity Type | Individual
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Provider Name | WAYNE MERRILL TOMPKINS D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1559 W FIREPIT KNOLL DR
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City | ST GEORGE
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State | UT
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Zip | 84770-1332
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Country | US
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Telephone | 417-263-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 1559 W FIREPIT KNOLL DR
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City | ST GEORGE
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State | UT
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Zip | 84770-1332
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Country | US
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Telephone | 417-263-0607
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 14248522-1202
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License Number State | UT
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