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General NPI Number Information
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NPI Number | 1447431598
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Entity Type | Organization
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Legal Business Name | COMPTON HEALTHCARE INC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 412 SECURITY SQ
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City | GULFPORT
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State | MS
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Zip | 39507-1952
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Country | US
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Telephone | 228-896-6640
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Fax | 228-896-6641
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Provider Business Mailing Address
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Address Line | PO BOX 674
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City | OCEAN SPRINGS
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State | MS
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Zip | 39566-0674
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Country | US
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Telephone | 228-896-6640
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Fax | 228-896-6641
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JAMIE R DOBSON II
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Credential |
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Telephone | 228-896-6640
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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 | 16438
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License Number State | MS
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