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General NPI Number Information
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NPI Number | 1265610208
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Entity Type | Organization
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Legal Business Name | RICK D COMPTON MD
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 630 W MAIN ST SUITE 102
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City | WILMINGTON
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State | OH
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Zip | 45177-2181
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Country | US
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Telephone | 937-382-7374
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Fax | 937-383-0532
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Provider Business Mailing Address
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Address Line | 630 W MAIN ST SUITE 102
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City | WILMINGTON
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State | OH
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Zip | 45177-2181
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Country | US
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Telephone | 937-382-7374
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Fax | 937-383-0532
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. RICK DWIGHT COMPTON
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Credential | M.D.
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Telephone | 937-382-7374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 51548
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License Number State | OH
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