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General NPI Number Information
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NPI Number | 1164199881
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Entity Type | Organization
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Legal Business Name | COMPTON CARE
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 11974 COUNTY ROAD 101 STE 101
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City | THE VILLAGES
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State | FL
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Zip | 32162-9339
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Country | US
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Telephone | 352-391-9467
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Fax | 352-391-9468
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Provider Business Mailing Address
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Address Line | 11974 COUNTY ROAD 101 STE 101
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City | THE VILLAGES
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State | FL
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Zip | 32162-9339
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Country | US
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Telephone | 352-391-9467
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Fax | 352-391-9468
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. BRENT COMPTON
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Credential | MD, DC
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Telephone | 352-391-9467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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