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General NPI Number Information
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NPI Number | 1114297025
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Entity Type | Individual
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Provider Name | MICHELLE LEIGH COMPTON LPTA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 5901 BROKEN SOUND PKWY STE 450
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City | BOCA RATON
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State | FL
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Zip | 33487-2787
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Country | US
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Telephone | 888-367-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 N RIDGE AVE
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City | KANNAPOLIS
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State | NC
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Zip | 28083-1704
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Country | US
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Telephone | 931-287-3101
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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