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General NPI Number Information
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NPI Number | 1164872990
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Entity Type | Individual
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Provider Name | VICTOR JOSE COMPRES MATOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 704 S WEBSTER AVE STE 300
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City | GREEN BAY
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State | WI
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Zip | 54301-3528
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Country | US
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Telephone | 920-433-6050
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Fax |
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Provider Business Mailing Address
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Address Line | 600 HIGHLAND AVE
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City | MADISON
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State | WI
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Zip | 53792-0001
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Country | US
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Telephone | 608-263-6400
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-45807
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 71935-20
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License Number State | WI
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