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General NPI Number Information
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NPI Number | 1275306391
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Entity Type | Organization
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Legal Business Name | FMK HEALTH PLLC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 77564 COUNTRY CLUB DR STE 107
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City | PALM DESERT
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State | CA
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Zip | 92211-0484
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Country | US
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Telephone | 832-683-5159
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Fax | 877-285-0577
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Provider Business Mailing Address
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Address Line | 1277 COUNTRY CLUB DR
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City | AKRON
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State | OH
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Zip | 44313-6717
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Country | US
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Telephone | 832-683-5159
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Fax | 877-285-0477
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Authorized Official
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Title or Position | CONTRACTING MGR
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Name | JANICE COMPTON
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Credential | CPC
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Telephone | 832-683-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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