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General NPI Number Information
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NPI Number | 1548916372
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Entity Type | Individual
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Provider Name | JOHN ROBERT TOMPKINS OD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 3350 BUFORD DR # 230
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City | BUFORD
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State | GA
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Zip | 30519-4991
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Country | US
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Telephone | 678-318-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 896 FARMSTEAD RD
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City | SUWANEE
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State | GA
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Zip | 30024-5256
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Country | US
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Telephone | 301-697-9927
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT003397
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License Number State | GA
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