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General NPI Number Information
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NPI Number | 1306000609
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Entity Type | Individual
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Provider Name | MICHELLE HOPE TOMPKINS PTA
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Gender | Female
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 6551 PARK OF COMMERCE BLVD NW SUITE 200
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City | BOCA RATON
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State | FL
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Zip | 33487-8218
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Country | US
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Telephone | 800-810-5344
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Fax | 800-709-4608
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Provider Business Mailing Address
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Address Line | 132 COVE CT
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City | IRMO
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State | SC
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Zip | 29063-8986
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Country | US
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Telephone | 864-419-5664
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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 | 1514
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2837
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 20110
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8065
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2065001
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License Number State | TX
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